IPRAS JOURNAL 5th ISSUE by MARIA PETSA

5th Issue - July 2011

16th IPRAS congress in Vancouver...

The beginning of a new era for IPRAS

Five continents 100 countries - regions 37.000 37. plastic surgeons 17 Subcommittees President for 1st time on the top of the administration hierarchy

ine z a g a m The e- 0 0 0 . 7 3 r s fo n o e g r u S c i t s a Pl ISSN: 1792-457X

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Issue 5

CONTENTS • President’s Message . . . . . . . . . . . . . . . . . . . . . . . . . . 5 • General Secretary’s Message . . . . . . . . . . . . . . . . . . 6 • Editor-in-Chief’s Message. . . . . . . . . . . . . . . . . . . . . 7 • IPRAS Management Office Report . . . . . . . . . . . . 9 • Outgoing Parliamentarian’s Message . . . . . . . . . . 13

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Prof. Marita Eisenmann-Klein, IPRAS 1st President

• IPRAS Officers for 2011-2015 . . . . . . . . . . . . . . . . 16 • Rising Star . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 • Senior Ambassador . . . . . . . . . . . . . . . . . . . . . . . . . 23 • Humanitarian Works . . . . . . . . . . . . . . . . . . . . . . . . 24 • 16th IPRAS Congress, Vancouver, 22-27 May 2011 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

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IPRAS booth

• IPRAS Board of Trustees . . . . . . . . . . . . . . . . . . . . 38 • Surveys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 • National Associations & Plastic Surgery Organizations’ News . . . . . . . . . . . . . . . . . . . . . . . . 46 • ISPRES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59 • Certificate of Membership . . . . . . . . . . . . . . . . . . . 62

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The Emirates Floating Hospital

• IPRAS Website . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63 • Up - Coming Conferences . . . . . . . . . . . . . . . . . . . 64 • National & Co-Opted Societies’ Future Events . . 78 • Industry News . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 • IPRAS Benefits for Individual Members & National Associations . . . . . . . . . . . . . . . . . . . . . 83

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AAPRAS 2011 Yerevan

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AIMS AND SCOPE

• To promote the art and science of plastic surgery • To further plastic surgery education and research • To protect the safety of the patient and the profession of Plastic, Reconstructive and Aesthetic Surgery • To relieve as far as it is possible the world from human violence or natural calamities through its humanitarian bodies • To encourage friendship among plastic surgeons and physicians of all countries

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RE AN S TJâ&#x20AC;&#x2122; SO M UE R SNSAALG E P R EISPI D

Prof. Marita Eisemann-Klein President of IPRAS

Board of Directors President Marita Eisenmann-Klein - Germany General Secretary Nelson Piccolo - Brazil Treasurer Bruce Cunningham - USA Deputy General Secretary Yi Lin Cao - China Deputy General Secretary Brian Kinney - USA Deputy General Secretary Ahmed Noureldin - Egypt Deputy General Secretary Andreas Yiacoumettis - Greece

Dear colleagues, Thank you for allowing me to serve as your President for the forthcoming 2 years! I am very happy that your delegates unanimously approved the by-laws changes and elected Nelson Piccolo from Brazil as my successor for the General Secretary position. I also want to thank the outgoing and the incoming Board of Directors and EXCO members. So many of them are involved in their national society activities and in challenging training programs and yet they serve IPRAS with great dedication! With all their expertise and their transcultural perspectives together we create a stable fundament in IPRAS. I am sure you noticed the member services that were introduced during the past 1 Â˝ years, since Zacharias Kaplanidis and his team started to work with us: their enthusiasm for YOU and your work is unparalleled! I am delighted that so many of you feel encouraged to share your ideas and visions with us, not only with the Executive Office but also with the Board of Directors and Executive Committee Members and with me personally. We learn from you every day! The congress in Vancouver turned out to be an outstanding event, due to the untiring efforts and dedication of our Canadian colleagues. Our congratulations and thanks to them! In Vancouver we started a direct communication with our trainees and residents throughout the world. I am happy about their activities. We will soon send out the questionnaire about training conditions worldwide. Please encourage all your trainees to participate! They now have the chance to create a better future for themselves and the next generation. The President of the Association of Plastic Surgeons of India, Dr. Raja Sabapathy, has announced July 15th to be THE PLASTIC RECONSTRUCTIVE SURGERY DAY! On this day, every single one of the 1.300 plastic surgeons in India should operate on one patient for free. We congratulate our Indian colleagues for this unique initiative! I dream of having a world-wide Plastic Reconstructive Surgery Day with all of YOU on July 15th, 2012! Let us make the world a warmer place. NOW! Cordially yours,

Parliamentarian Norbert Pallua - Germany Executive Director Zacharias Kaplanidis - Greece

Prof. Marita Eisenmann-Klein, IPRAS President, at the opening ceremony of the 16th IPRAS congress in Vancouver

Marita Eisemann-Klein President of IPRAS Issue 5

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GENERAL SECRETARY’S MESSAGE

I am extremely happy to be a member of IPRAS

Prof. Nelson Piccolo IPRAS General Secretary

As the IPRAS’ Board of Directors commences a new term, I must say that I am extremely happy to be a member of it, as General Secretary of IPRAS.

Another is the will to help, to provide humanitarian aid, here, there, everywhere…. The Plastic Surgeon is the Surgeon who will most likely be present in every corner of this world, where humanitarian aid is needed and provided… We are “naturals” where disposition and availability are concerned, and we are certainly technically prepared for it! Being from Brazil and South America, we are also very, very happy that the next World Congress of Plastic Surgery will take place in Chile, in February 2013, when we are certain that a massive number of our members will be present!!!

Prof. Yi Lin Cao, IPRAS Deputy General Secretary, Prof. Andreas Yiacoumettis, IPRAS Deputy General Secretary, Prof. Nelson Piccolo, IPRAS General Secretary, Prof. Marita Eisenmann-Klein, IPRAS President, Dr. Brian Kinney, IPRAS Deputy General Secretary, Dr. Don Lalonde, Chairman of the Canadian Organizing Committee.

Under the leadership of our President, Prof. Marita Eisenmman-Klein, we will be participating in the continuous evolution of Plastic Surgery and Plastic Surgeons around the world. IPRAS unites over 100 Plastic Surgery Societies and several other Societies with specific interests in the fields of Plastic Surgery. We understand that there are several differences throughout the world on how patients can reach a Plastic Surgeon and receive adequate professional and specialized services. The necessity for reconstructive procedures in all areas of the world has been the main drive for many decades as the originator (or consolidator) of aesthetic techniques and procedures. We also know, however, that there are many similarities amongst us, plastic surgeons worldwide! One of them is the ever present will to improve techniques and methods, constantly sharing successful recent and timeproven knowledge with other specialists. This has been done since the early years of training in Plastic Surgery and has continued for the entire Surgeon’s professional life, during congresses and several other meetings. History has shown that colleagues from the most varied places in the world have contributed to our ever growing knowledge. 6

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Prof. Nelson Piccolo, IPRAS General Secretary, Prof. Marita Eisenmann-Klein, IPRAS President, Dr. Constance NeuhannLorenz, President IQUAM, Chairperson WomenForWomen, Dr. Christian Echinard, Chairman IPRAS Emergency Task Force, Co-chairman Coordination of Humanitarian Projects

I would also like to thank all the Member Societies, through their National Delegates, for participating in the meetings during the recent World Congress in Plastic Surgery, in Vancouver, when the new Board of Directors was elected. My best wishes to all of you,

Prof. Nelson Piccolo IPRAS General Secretary

S HJ IOEUFR’ SN A E D I T O RI -PIRNA- C MLE S S A G E

WHAT A YEAR!

EDITORIAL

Dr. Thomas M. Biggs, M.D. Editor-In-Chief

It began with “what a day!”. Now that day has stretched into a year. We’ve had superior performances by all parts of our team. Beginning with the non-stop, world- circling efforts of our Secretary General, now President, Prof. Marita Eisenmann-Klein, the steady hand of our Treasurer, Dr. Bruce Cunningham, the Secretary General Prof. Nelson Piccolo, the Deputy Secretary General for Europe Prof. Andreas Yiacoumettis, the Chairman of the Scientific Advisory Board Prof. Daniel Marchac our Women For Women leader Dr. Constance Neuhann- Lorenz, and the large assortment of dedicated workers from Greece, to India, to Canada, with stops in smaller but no less important ports. There is no question as to the viability and acceleration of the effectiveness of IPRAS. It would be negligent to pass the opportunity to recognize the highly important management skills of Zita-Congress and its leader, Mr. Zacharias Kaplanidis, along with his entire team, especially my right hand in all my efforts, Ms. Maria Petsa. The problem with naming names in a huge effort is that it is impossible to enumerate all the contributors, but they know who they are and this Journal takes this moment to acknowledge their works. All this is about last year. We now have entered into the real life struggle to not only remain active but to move forward and assume the responsibilities incumbent with the position of the largest organization of plastic surgeons in the world. The experience in Canada will be a platform for our next biannual conference to be held in Chile in 2013. It will be a major challenge to exceed, or even match, our success in Vancouver but that effort has begun many months ago. Once again it will require many shoulders pushing and many backs straining to pull the Society’s growing significance to an even higher level. Somehow my intuition, born out of fiftythree years involvement in plastic surgery, indicates to me a grand success in Chile….but intuition is amorphic. The performance will Dr. Thomas Biggs, IPRAS Editor-in-chief at the General speak for itself. Assembly Meeting during 16th IPRAS congress in Vancouver Issue 5

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Regarding the Journal I must say I am pleased. I am pleased that so many people have pitched in and responded to my requests for contributions. I have been happy with our series, as we have presented each issue of three outstanding members of great quality:

1) Rising Star….a surgeon under the age of forty-five whose contribution has been notable 2) Pioneer….a surgeon whose contributions have significantly changed the way we do things 3) Senior Ambassador….a surgeon in the twilight of his/her career who can recollect his/her own involvements and contributions and extrapolate them into a vision for the future….a path we’d be wise to follow. I am also pleased by the scientific articles that have come forth. My vision at this time is for the articles to be more of a draft form, pointing out the problem, providing a brief analysis of the pursued solution, displaying results, and finally reaching to the conclusion. This leaves the author free to publish the more complete work in one of our sister journals which is indexed. The time may come when we will change this approach, but for now this is the way it is. We have opened our pages to corporations who wish to present the technical aspects of their products in article form in addition to their buying space for advertising. The area where I would like to see more growth is in the “Letters to the Editor”. It would help me greatly to have more feedback from the readers. Finally, “What a Year”!…. it has been a joy for me to be on this ride and I eagerly anticipate a continuing adventure….so I thank all those who have made it so for me. Dr. Thomas M. Biggs, M.D. Editor-In-Chief

Dr. Thomas Biggs, IPRAS Editor-in-chief at the National Delegates meeting during 16th IPRAS congress in Vancouver

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II P PR RA AS S M MA AN NA AG GE EM ME EN NT T O OF FF F II C CE E R RE EP PO OR RT T

May 2011 - July 2011

Mr. Zacharias Kaplanidis IPRAS Executive Director

The 5th edition of the IPRAS Journal coincides with our Confederation making one step forward in both its management methods and its amplitude of aims and goals. For the very first time since its establishment in 1955, the institution of the President is added to its administrative pyramid.

The new administrative IPRAS pyramid

At the same time, important sub-committees are either founded or given a newly expanded agenda, such as the Humanitarian (IPRAS Foundation), the Board of Trustees, the Scientific Advisory Board, etc. The purpose and goals of these sub-committees are analyzed by ex-Parliamentarian and currently Deputy General Secretary, Prof. Andreas Yiacoumettis. We would just

like to underline the magnitude the aims and goals of IPRAS now have in the field of Plastic, Reconstructive and Aesthetic Surgery worldwide. During the IPRAS World Congress in Vancouver (22-27/5/2011), 14 individual meetings of the Board of Directors, the Executive Committee, The National Delegates, the General assembly meeting and the SubCommittees were held, reaching a record number for management and constitutive meetings in the history of IPRAS. A new record was set for the number of IPRAS members, as in Vancouver, with the addition of the newly-established association of Kazakhstan, the number of the National and Regional Associations reached 100. Since we are referring to Vancouver and the World Congress, we would like to congratulate the organizers for their absolute success on both the organizational level and participation. The participants exceeded the number of 1800, as officially stated by the Organizers of the Vancouver Congress, while the presence of Exhibitors and Sponsors was very dynamic. We would like to congratulate the President of the Canadian Society, Dr. Patricia Bortoluzzi and the Chairman of the Canadian Organizing Committee, Prof. Don Lalonde, Prof. Ronald M. Zuker, Chair, IPRAS2011 Vancouver, Prof. Peter C. Neligan, Chair, Scientific Program

National Delegates meeting during 16th IPRAS congress in Vancouver

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The IPRAS booth

Committee, Prof. Gordon Wilkes, Chair, Finance/ Sponsorship and all the members of the Canadian Society of Plastic Surgeons.

Following a flawless election procedure, the countries that were chosen to host the 2 world congresses were China (Shanghai) for 2015, and Belgium (Brussels) for 2017. We congratulate both and we wholeheartedly wish both National Associations every success. We would also like to thank and congratulate the rest of the candidates for their excellent presentations. Namely, the President of the Hellenic Society of Plastic, Reconstructive and Aesthetic Surgery, Dr. Apostolos Mandrekas, the President of the Indonesian Society, Prof. Theddeus Prasetyono, Prof. Reha Yavuzer of the Turkish Society and Prof. Nicolo Scuderi from the Italian Society together will their assisting teams. It is our belief that all the above countries are perfect for the organization of a future IPRAS World Congress. We encourage them to try again reminding them that Chile is not that far away chronologically.

It appears that the financial success of the Congress guarantees IPRAS an amount that exceeds 200.000 CAD (50% of the net income). This amount gives IPRAS the potential to reinforce its management and humanitarian activities for the period 2011-2012. The Confederation’s Management Office (ZITA Congress) manned the mission to Vancouver with a group of 8 people. They staffed the beautiful booths of IPRAS, Chile 2013 and the 1st European-Chinese Congress that will take place in October 2011. The IPRAS Executive Director, Mr. Zacharias Kaplanidis and the Assistant Executive Director, Mrs. Maria Petsa participated and organized 14 meetings of the Board of Directors, the Executive Committee, the National Delegate Council, Sub-Committees etc. It was a difficult and demanding task, met with absolute success. Many thanks are in order for all the Management Office staff as well as the Congress Organizers for their precious help. As you may well know, Vancouver was the place where the selection procedures for the host countries for the 2015 and 2017 IPRAS World Congresses were completed.

The booth of 17th IPRAS congress that will be held in Chile, Sandiago 24/2-1/3/2013

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The booth of the 1st Chinese – European Congress that will be held in China, Beijing

Closing the Vancouver chapter, we would like to wish every success in their difficult and strenuous work to all the new “faces” in the IPRAS administration, starting with the new General Secretary, Dr. Nelson Piccolo (Brazil), and the new Deputy General Secretaries, Prof. Yilin Cao (China), Prof. Ahmed Noreldin (Egypt) and Prof. Andreas Yiacoumettis (Greece). Many more positions were filled with esteemed surgeons like our new Parliamentarian Prof. Norbert Pallua (Germany), the head of the IPRAS Foundation Dr. Christian Echinard (France), the President of the newly established (and IPRAS Organized) ISPRES Prof. Gino Rigotti (Italy), the President of the Scientific Advisory Board Prof. Daniel Marchac (France), and of course the 1st President of IPRAS Prof. Marita Eisenmann-Klein (Germany). Furthermore, in this new era of IPRAS, we wish every success to the Deputy General Secretary Dr. Brian Kinney and the precious and very experienced treasurer Dr. Bruce Cunningham.

Since the publication of our last edition, many important events occurred for the evolution and the work of IPRAS worldwide. In the end of April, our President, Prof. Marita Eisenmann-Klein and the Executive Director, Mr. Zacharias Kaplanidis traveled to Kazakhstan after been invited to an ISAPS Symposium. We would like to thank ISAPS President, Dr. Jan Poell and General Secretary, Dr. Miodrag Colic for everything as well as giving us the chance to meet in this beautiful and interesting country of Central Asia. The hard work of the IPRAS President and the Executive Director started much earlier to the journey and arrival at ex-capital Almaty, resulting in the foundation of the National Association of Plastic Surgery of Kazakhstan with 34 members and their admission as the 100th member of IPRAS by the IPRAS National Delegate Council. We wish them the best results in their targets. IPRAS and its management office will always be at their disposal for any kind of support. Another journey included traveling to Armenia at the end of June (28-30) in order to participate in the National Congress in Yerevan. IPRAS and its Management Office supported this organization in every way and we must report that it was successful from many aspects. The congress took place at the exceptional premises of the University of Yerevan (Medical School) with participation from approximately 15 countries, such as Georgia, Russia, South Korea, Egypt, Turkey, Greece, Brazil etc. The Congress impressed all participants as it had a rich and interesting scientific programme (26 International Faculty Members), enjoyed the unprecedented attendance of the National Media (7 TV Channels & 25 Journalists) which covered all activities for 2 days, and ended with a rather successful and interesting Public Day (with the participation of approximately 145 civilians). Thanks to IPRAS’ subsidy, approximately 39 residents from Armenia and Georgia attended the congress free of charge. IPRAS, also, subsidized the congress with

10.000 € in total, an amount that had been accounted for and endorsed by the Executive Committee in Doha in December 2010. This way, the Confederation proved its sensitivity in supporting smaller Associations/ Members once more. ZITA Congress, who handled all the organization of the congress, also had an important financial and organizational contribution of 8000 €. Among others, Prof. Nelson Piccolo (Brazil) in his first official appearance as new General Secretary, the Deputy General Secretary, Prof. Andreas Yiacoumettis (Greece), the Deputy General Secretary, Prof. Ahmed Adel Noreldin (Egypt), the members of the executive committee, Dr. Suk Wha Kim (South Korea), Dr. Christian Echinard (France), Prof. Daniel Marchac (France), Prof. Mohamed Zaki (Egypt), and the President of IPRAS, Prof. Marita Eisenmann-Klein (Germany), honored the beautiful city of Yerevan with their participation. The hospitality shown by the

Prof. Marita Eisenmann-Klein, IPRAS President and Prof. Andreas Yiacoumettis, IPRAS Deputy General Secretary with the President of the 3rd AAPRAS conference and the President of the Society, meet the Dean of the university of Yerevan.

Armenian Association was exemplary and we would like to thank all of its Members, the President of the Association, Dr. Armen Hovhannisyan and the President of the Congress, Prof. Gevorg Yaghhyan. Furthermore, we would also like to thank the Rector of the Yerevan State Medical University, Prof. Derenik Dumanyan, who perfectly hosted the Congress at its excellent university establishments. Despite its size, the congress left impressions and memories to be remembered for many years. Armenia, IPRAS will always be with you. Thank you for your precious experiences and your hospitality in your beautiful and historic country.

During the visit to Kazakhstan. Among others, Prof. Marita Eisenmann-Klein, IPRAS President, Prof. Miodrag Colic, ISAPS Secretry General, Member of the IPRAS subcommittee cooperation with other Societies, IPRAS representative of Europe, Mr Zacharias Kaplanidis, IPRAS Executive Director

In June and on the beautiful island of Mykonos, EURAPS held their annual congress, which for many years has been a very important event in the field of Aesthetic Plastic Surgery. IPRAS supported this congress immediately and supported the organization of 2011. IPRAS issued relevant reports in all the editions of the IPRAS Journal leading to the EURAPS Congress. Issue 5

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During 14th ESLAS congress, Greece, Mykonos. Among Others, President of ESLAS (European Society for Laser Aesthetic Surgery) Dr. Paraskevas Kontoes

The Management Office sent several newsletters to the IPRAS database (37.000 plastic surgeons) and ZITA Congress’s efforts, as partially responsible for the organization, contributed so that the 22nd Annual EURAPS Meeting in Mykonos in 2011 was the largest in participants numbers in the history of the institution. Some of its impressive numbers include: approximately 450 participants, 170 accompanying persons, 17 exhibition companies and 50 exhibitors. Congratulations to all the key persons behind its success, Prof. Moshe Kon (General Secretary), Prof. Othon Papadopoulos (Congress President) and Prof. Julia Terzis (EURAPS President). ZITA Congress would like to thank them for their excellent cooperation and wishes Prof. Milomir Nincovic and his assistant Dr. Sarah Lorenz every success in EURAPS 2012 in Munich. We also wish the best success in his duties to the new EURAPS General Secretary, Prof. Manfred Frey.

The 22nd EURAPS congress in Mykonos. From the left Prof. Moshe Kon, EURAPS Former General Secretary, Prof. Julia Terzis, EURAPS former President, Prof. A. Banic, EURAPS New President

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IPRAS endorsed and ZITA Congress organized the 14th ESLAS Congress of the European Society for Laser Aesthetic Surgery, which also took place in Mykonos in June. This was a specialty-based congress that satisfied all participants from 19 countries, and we would like to congratulate the President, Dr. Vakis Kontoes for his efforts and to express our sincere support to the efforts and the work of the entire administration. IPRAS will continue to work with ESLAS, since its members are mainly plastic surgeons. Moreover, ESLAS will be participating at the upcoming 1st European-Chinese Congress of Plastic, Reconstructive and Aesthetic Surgery on 27-30/10/2011. To conclude the IPRAS Management Office report for the period April – June 2011, we would like to express our support to all the countries and our members that continue to tackle the consequences that the natural, social and political problems forced upon them in the previous months. Libya, Japan, Syria, Egypt, Tunisia. We haven’t forgotten about you. We are always at your side. We have underlined in these pages in the past, that in hard financial & political times the role of an International Scientific Institution such as IPRAS is very important. IPRAS, with 100 National Members and approximately 40.000 plastic surgeons, constitutes a large scientific, social and economic entity, whose decisive contribution is capable of “healing” wounds, globally. With the new structure of IPRAS with its Sub-Committees and the establishment of the President, this is exactly where the Confederation aims. Therefore, during these difficult times, Leon Tolstoy’s words can inspire us all. “I now understand that my welfare is only possible if I acknowledge my unity with all the people of the world without exception”. Zacharias Kaplanidis IPRAS Executive Director IPRAS Management Office Zita Congress

OUTGOING PARLIAMENTARIAN’S MESSAGE

The 2011 Vancouver World Congress A “Landmark” in the history of IPRAS

Prof. Andreas Yiacoumettis Deputy General Secretary

Ever since IPRAS was founded at the beginning of the fifties in the last century, many Plastic Surgeons have participated in the World Congresses over these years. This time in Vancouver, it was the biggest gathering ever! Everything contributed to this success. The excellent organization by the Canadians, with Don Lalonde at the helm, the introduction of new ideas in the scientific program, the modern venue, the social events, the beautiful city of Vancouver and the surrounding area, to mention but a few. We congratulate the Organizing Committee and the Canadian Society for this success. It was also a “Landmark” in the history of IPRAS. Many things happened in Vancouver during the business meetings, which introduced new ideas, new procedures and new officers in the ExCo and Subcommittees, eager to work for the aims of our precious organization. According to the new revised bylaws, starting from the

top, the office of the President was instituted and the number of members of the Board of Directors (BOD) was increased. With more Deputy General Secretaries, all the regions of the world are represented on the Board. Prof Marita Eisenmann-Klein was unanimously elected as the first President of IPRAS by the Council of Delegates and the Executive Committee and approved by the General Assembly. Her outstanding service as General Secretary was gratefully appreciated by everybody and the enthusiastic standing ovation following her election was more than an expression of admiration and continued support. In the position of General Secretary Nelson Piccolo was also unanimously elected, the first colleague from South America to serve in this position. The elections of the new ExCo officers and the appointment of members for the subcommittees were contacted in perfect order. The names and country of the

General Assembly meeting. Prof. Marita Eisenmann-Klein elected as the 1st IPRAS President

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Awarding the Board of Trustees at the end of the Opening Ceremony of the 16th IPRAS congress in Vancouver. From the left : Prof. Daniel Marchac, Prof. Gursu Guler, Prof. Gary Brody, Prof. Marita Eisenmann-Klein, Prof. Paulino Morales

new officers to serve for the period 2011-2015 are shown on the list printed in this issue of the Journal of IPRAS.

IPRAS Contract Organizer in collaboration with the Local Organizing Committee.

The new bylaws contain the founding of two more important groups which are the “Board of Trustees” and the “Scientific advisory Board”.

Organizers of various events frequently ask for the use of the IPRAS Logo and for this purpose the Board will assess scientific events applying for IPRAS Endorsement according to the “Rules of Endorsement” set by the

For a long time now, it has been felt by all and almost became an obligation, that Senior Members with distinguished long service to the Specialty and IPRAS, disserve appreciation and honor from everybody in the profession and more importantly by our Global organization, which up to now has failed to meet this duty. Hence, the bestowment of this lifetime appointment as IPRAS TRUSTEE which has now come to fulfill this debit. The Board of Trustees (no more than a hundred) will be a “think tank” group of esteemed colleagues who with their experience and wisdom, will deliver opinions and statements on highly important issues concerning our specialty. Their first task will be the development of a “Code of Ethics” . The first to receive this honor are: Garry Brody (US), Güler Gürsu (Turkey), Paulino Morales (Argentina), Daniel Marchac (France), Jean-Philippe Nicolai (Netherlands)and Mohamed Zaki (Egypt). Fernando Ortiz Monasterio (Mexico), Michel Costagliola (France), Jean-Paul Bossé, (Canada) were honored in “in absentia” as they were unable to attend in Vancouver and they will receive their plaquette at the opening ceremony of a future major IPRAS event. The Scientific Advisory Board is comprised of colleagues who are charged with the job of advising the BOD, the ExCo and the membership at large on scientific issues. The Board will Supervise the scientific programs of the biennial Congress and all meetings organized by the 14

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From the left: Dr. Vagif Galandarov, IPRAS National Representative of Azerbaijan with Prof. Daniel Marchac, Chairman of IPRAS Scientific Board

BOD. Members of the Scientific Board are expected to assist in the formation of a position statement on scientific issues of concern. The first chairman of this group is Daniel Marchac from France. During the Vancouver Congress we witnessed the birth of a new Society, which will function within the IPRAS structure. This is the “International Society of Plastic Regenerative Surgery” (ISPRES). The inaugural meeting was held on May 26th, 2011 during which the first ISPRES ExCo was elected with Gino Rigotti as President, Roger Khouri as vice President and Sydney Coleman as Secretary. Colleagues from all over the world interested in this modern and inspiring topic are already applying in large numbers to become members of this new Society. The Council of Delegates met twice during the Congress. Among other business the candidate societies for organizing the 2015 and 2017 presented their bids. For the first time the bidding was made well in advance in order to allow the winners ample time for preparation. The presenters of the bids were given time to promote their applications to the Council with audiovisual presentations and booths at the Trade Exhibition site. Between the two meetings of the Council enough time was given to the delegates to consult with their societies regarding their preferences. Countries bidding for the 2015 event were China, Greece and Indonesia. For the 2017 were Belgium, China Italy and Turkey. The winners following a secret vote were China for 2015 (Shanghai) and Belgium for 2017 (Brussels). Warm congratulations are in order to the winners. We are all looking forward to a great success in the organization of these top events of our specialty. The new ExCo and the new members of the subcommittees met in the afternoon of Friday May 27th for a very important deliberation regarding the role and the action plan of each of the Subcommittees. Regarding “Training & Accreditation” and “Board certification” the special subcommittees will focus on developing policies and strategies after Data collection and information from the National Authorities. Help from National Societies belonging to IPRAS on this matter will be very valuable. Issues regarding the practice of the profession will be covered by subcommittees such as the “Guidelines SubCommittee”, the “Specialty Protection Sub Committee”,

the “Quality Management Sub Committee” and the “Cooperation with other societies Sub Committee”. The “Communication subcommittee” made valuable suggestions towards making IPRAS more known to the membership, the various authorities and to the public as well. The newly founded IPRAS Media Office run by our Executive Management will be a great asset in pursuing this task. The Humanitarian Groups of IPRAS also met during the Congress. We have all witnessed the admirable activities of all these special colleagues who spare no effort in pursuing their philanthropic tasks. The protagonist Christian Echinard together with our President and others are continuously engaged in organizing missions and providing help wherever is needed. Special subcommittees on this subject are: the “IPRAS Foundation (IPRAF)”, the “Coordination of Humanitarian Projects Sub Committee”, the “IPRAS Emergency Task Force” and the “Women for Women Sub Committee”. IQUAM (International Committee for Quality Assurance and Medical Devices in Plastic Surgery) also held a meeting chaired by its President Constance Neuhann-Lorenz (Germany). Among other issues, the organization of the next meeting and the consensus conference which will take place in Athens in the autumn of 2012 was discussed. It is evident from the above that IPRAS has entered a new era. Its presence and activities have grown impressively in the last couple of years. New policies, closer communication with individual plastic surgeons on a regular basis, support and responsiveness, the publications of the IPRAS-Journal sent to over one hundred National Societies’ members, the Industry and health authorities, are the tools for achieving even greater results. Last but not least and surely the most important decision we have made, was to entrust to ZCongress the executive management of IPRAS. Their enthusiasm and effectiveness together with the support of the officers of the IPRAS hierarchy and the individual members, have been the driving force in achieving many of our assigned tasks. The future is more promising and the prospects are greater. Yes! The Vancouver World Congress was a “Landmark” in the history of IPRAS. Prof Andreas Yiacoumettis IPRAS BOD - Deputy General Secretary

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IPRAS OFFICERS FOR 2011-2015 Board of Directors President: Marita Eisenmann-Klein (Germany) m.eisenmann-klein@web.de General Secretary: Nelson Piccolo (Brazil) nelsonpiccolo@bol.com.br Treasurer: Bruce Cunningham (USA) cunni001@umn.edu Dep. General Secretary: Yi Lin Cao (China) yilincao@yahoo.com Dep. General Secretary: Brian Kinney (USA) brian@briankinneymd.com Dep. General Secretary: Ahmed Adel Noreldin (Egypt) esprs@hotmail.com Dep. General Secretary: Andreas Yiacoumettis (Greece) yiacoume@otenet.gr Parliamentarian: Norbert Pallua (Germany) npallua@ukaachen.de Exec. Director: Zacharias Kaplanidis - Ex Off (Greece) Zacharias.Kaplanidis@iprasmanagement.com

Board of Trustees

Awarded in Vancouver May 23rd, 2011 Garry Brody (US/Canada) gsbmd@aol.com Guler Gursu (Turkey) yagiz@cnidus.com Daniel Marchac (France) danielmarchac@hotmail.com Paulino Morales (Argentina) pmorales@intramed.net.ar Awarded in Yerevan June 28th, 2011 Jean-Philippe Nicolai (Netherlands) jpnicolai@kpnplanet.nl Mohamed Ahmed Zaki (Egypt) msobhi2000@yahoo.com

Geographic Representatives

Africa & Middle East Mohamed Kadry (Egypt) mkadrymd@gmail.com Asia-Pacific Saug Tae Ahu (Korea) kprs@chollian.net Murod Jafarov (Uzbekistan) uzjmps@gmail.com Suk Wah Kim (Korea) kprs@chollian.net Hideki Nakanishi (Japan) nhideki@clin.med.tokushima-u.ac.jp Takashi Nakatsuka (Japan) nakatsuk@saitama-med.ac.jp 16

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Theddeus O.H. Prasetyono (Indonesia) teddyohp@yahoo.com Zunli Shen (China) ZLShen@public1.sta.net.cn Europe Miodrag Colic (Serbia) drcolic@eunet.yu Chris Khoo (UK) tkkhoo@bakersbarn.net Daniel Marchac (France) danielmarchac@hotmail.com Javier de Salamanca (Spain) jedesalamanca@yahoo.com North America Gregory Evans (USA) gevans@uci.edu Bryan Gamble (USA) wmbgamble@aol.com Mary MacGrath(USA) mcgrathm@surgery.ucsf.edu John Persing (USA) john-persing@quickmail.yale.edu john.persing@yale.edu Andrea Pusic (USA) PusicA@mskcc.org Deborah Reilly-Culver (USA) dareilly@unmc.edu Bryant Toth (USA) tothbryant@aol.com South & Central America Claudio Angrigiani (Argentina) claudioa@yahoo.com.ar Alejandro Duarte Y Sanchez (Mexico) amcper@cirugiaplastica.org.mx Sebastiao Nelson Edy Guerra (Brazil) sneg@terra.com.br Osvaldo Saldanha (Brazil) clinica@clinicasaldanha.com.br Carlos Uebel (Brazil) carlos@uebel.com.br

Representatives of Sections African Section Ahmed Adel Noreldin (Egypt) esprs@hotmail.com Asian-Pacific Section Rajeev Ahuja (India) rbahuja@gmail.com

European Section (ESPRAS) Andreas Yiacoumettis (Greece) yiacoume@otenet.gr Ibero-Latino American Section JosĂŠ Tariki (Brazil) jytariki@originet.com.br Pan-Arab Section Mohammed Rida Franka (Libya) rfranka@hotmail.com

Representatives of Co-Opted Societies International Federation of Societies for Surgery of the Hand (IFSSH) Francisco Del Pinal (Spain) drpinal@ono.com International Society of Aesthetic Plastic Surgery (ISAPS) Jan Poell (Switzerland) jpoell@bluewin.ch International Society for Burn Injuries (ISBI) Nelson Piccolo (Brazil) nelsonpiccolo@bol.com.br International Society of Craniofacial Surgery (ISCFS) Anil Madaree (South Africa) madaree@ukzn.ac.za World Society of Reconstructive Microsurgeons (WSRM) Julia Terzis (USA) mrc1@erols.com

Other Elected Positions Chairperson of the Council of National Delegates Mohamed Ahmed Zaki (Egypt) msobhi2000@yahoo.com Deputy Chairperson of the Council of National Delegates Albert de Mey (Belgium) albert.demey@chu-brugmann.be

Ex officio Members Editor of IPRAS Journal Thomas M. Biggs (USA) tbiggsmd2@aol.com President of IPRAS Congress 2013 (Chile) Patricio LĂŠniz (Chile) drpatricioleniz@gmail.com Chairman Organizing Committee of IPRAS congress 2013 (Chile) Wilfredo Calderon (Chile) wcalderon@hts.cl

Historian Riccardo Mazzola (Italy) riccardo.mazzola@fastwebnet.it

lQUAM (International Committee of Quality Assurance and Medical Devices in Plastic Surgery) President: Constance Neuhann-Lorenz (Germany) dr.neuhann-lorenz@t-online.de Vice President: Manuel Garcia Velasco (Mexico) mgvelasco@mexis.com Secretary: Daniel Marchac (France) danielmarchac@hotmail.com Parliamentarian: Andreas Yiacoumettis (Greece) yiacoume@otenet.gr Members Dimitre Evstatiev (Bulgaria) d_evstat@gmail.com Josef Fedeles (Slovakia) josef.fedeles@gmail.com

Sub Committees STANDING SUB-COMMITTEES By-laws Sub Committee Chair: Andreas Yiacoumettis (Greece) yiacoume@otenet.gr Deputy Chair: Petros Palmos (Greece) petrospalmos@hol.gr Members: Yi Lin Cao (China) yilincao@yahoo.com Marta Markowicz (Germany) mmarkowicz@ukaachen.de Motohiro Nozaki (Japan) mnozaki@prs.twmu.ac.jp Nominating Sub Committee Chair: Nobuyuki Shioya (Japan) shioya@josaiclinic.com Deputy Chair: Dimitre Evtatiev (Bulgaria) drevstat@gmail.com Members: Krysztof Drzewiecki (Denmark) krzysztof.tadeusz.drzewiecki@rh.regionh.dk Sebastiao Nelson Guerra (Brazil) sneg@terra.com.br Ioan Lascar (Romania) ilascar@chirurgie-plastica.ro Communication Sub Committee Chair: Thomas Biggs (USA) tbiggsmd2@aol.com Deputy Chair: Roxanne Guy (USA) rguy@drguyplasticsurgery.com

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Zacharias Kaplanidis (Greece) Zacharias.Kaplanidis@iprasmanagement.com Members: Brian Kinney (USA) brian@briankinneymd.com Bryan Mendelson (Australia) bcm@bmendelson.com Andrea Pusic (USA) pusica@mskcc.org Maria Simionow (USA) siemiom@ccf.org Andreas Yiacoumettis (Greece) yiacoume@otenet.gr IPRAS Foundation - IPRAF Chair: Christian Echinard (France) echinard@club-internet.fr Deputy Chair: Constance Neuhann-Lorenz (Germany) dr.neuhann-lorenz@t-online.de Members: Josef Fedeles (Slovakia) josef.fedeles@gmail.com Alexes Hazen (USA) Alexes.Hazen@nyumc.org Elsa Maria Meza Britez (Paraguay) mplastic@pla.net.py Lakshmi Saleem (India) Lakshmi.saleem@gmail.com Budget & Finance Sub Committee Chair: Bruce Cunningham (USA) cunni001@umn.edu Deputy Chair: Guillermo Vasquez (Argentina) info@cirurgiaplastica.gr.com Members: Nadiah Bundugji (Saudi Arabia) nbundugji@hotmail.com Peter Kompatscher (Austria) peter.kompatscher@lkhf.at Teddy Prasetyono (Indonesia) teddyohp@yahoo.com

APPOINTED SUB-COMMITTEES Scientific Advisory Board Chair: Daniel Marchac (France) danielmarchac@hotmail.com Members: Rajeev Ahuja, (India) rbahuja@vsnl.com Bishara Atiyeh (Lebanon) batiyeh@terra.net.lb Andrej Banic (Switzerland) andrej.banic@insel.ch 18

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Philippe Blondeel (Belgium) phillip.blondeel@ugent.be Krzysztof Drzewiecki (Denmark) rh02156@rh.dk Greg Evans (USA) gevans@uci.edu Pericles Filho (Brazil) periclesfilho@gmail.com Manuel Garcia Velasco (Mexico) mgvelasco@mexis.com Albert de May (Belgium) albert.demey@huderf.be Xiongzheng Mu (China) craniomu@gmail.com plastic_mu6666@yahoo.com Peter Neligan (Canada) pneligan@u.washington.edu Ahmed Noreldin (Egypt) esprs@hotmail.com Lydia Masako Ferreira (Brazil) lydiamferreira@gmail.com Coordination of Humanitarian Projects Sub Committee Chair: Chanjiv Singh (India) chanjivsingh@rediffmail.com Co-Chair: Christian Echinard (France) echinard@club-internet.fr Members: Andre Borsche (Germany) borsche@interplast-germany.de Louis Kahoro (Kenya) lnkahoro@yahoo.com Marta Markowicz (Germany) m.markowicz@t-online.de Deborah Reilly (USA) dareilly@unmc.edu Dimitris Synodinos (Greece) dimitris.synodinos@zita-congress.gr IPRAS Emergency Task Force Chair: Christian Echinard (France) echinard@club-internet.fr Co-Chair: Jan Poell (Switzerland) jpoell@bluewin.ch Members: Bud Alpert (USA) balpertmd@aol.com Zacharias Kaplanidis (Greece) Zacharias.Kaplanidis@iprasmanagement.com Bouraoui Kotti (Tunisia) bouraouikotti@yahoo.com Sami Otman (Libya-France) samiotaman@yahoo.fr

Women for Women Sub Committee Chair: Constance Neuhann-Lorenz (Germany) dr.neuhann-lorenz@t-online.de Co-Chair Deborah Reilly (USA) dareilly@unmc.edu Members: Vanessa BrĂŠbant (Germany) vanessa.brebant@gmx.net Marta Markowicz (Germany) m.markowicz@t-online.de Andrea Pusic (USA) pusica@mskcc.org Nancy Van Laeken (Canada) nvanlaeken@providencehealth.bc.ca Guidelines Sub-Committee Chair: Guenter Germann (Germany) guenter.germann@urz.uni-heidelberg.de Co-Chair Othon Papadopoulos (Greece) othon@otenet.gr Members: Pericles Filho (Brazil) periclesfilho@gmail.com Harald Kubiena (Austria) harald.kubiena@meduniwien.ac.at Deuk Oh (Korea) ohdeuk1234@hanmail.net Reha Yavuzer (Turkey) ryavuzer@amerikanhastanesi.org Karsten Knobloch (Germany) kknobi@yahoo.com Specialty Protection Sub Committee Chair: Claude Le Louarn (France) lelouarn@lelouarn.eu Co-Chair: Guido Molea (Italy) molea@unina.it Members: Kirill Pshenisnov (Russia) kpshenisnov@plasticsurgeon.ru Eberhard Schaller (Germany) schaller@bgu.tuebingen.de Io Sofianou (Greece) iosof@otenet.gr Bryant Toth (USA) tothbryant@aol.com Training & Accreditation Sub Committee Chair: Bishara Atiyeh, (Lebanon) batiyeh@terra.net.lb Co-Chair: Jens Elberg (Denmark) rh01378@rh.dk

Members: Dimitre Evstatiev (Bulgaria) drevstat@gmail.com Raymund Horch (Germany) Raymund.Horch@chir.imed.uni-erlangen.de Zun Li Shen (China) ZLShen@public1.sta.net.cn Josef Fedeles (Slovakia) josef.fedeles@gmail.com Quality Management Sub Committee Chair: Ivar van Heijningen (Belgium) ivar.van.heijningen@gmail.com Co-Chair: Lee Roy Young (USA) leroyyoungmd@bodyaesthetic.com Members: Mohammed Eed (Saudi Arabia) prof_eed@yahoo.com Lanhu Mu (China) lanhua_mu@yahoo.com Toma Mugea (Romania) drmugea@medestet.ro Claude Oppikofer (USA) claude@oppikofer.com Board Certification Sub Committee Chair: John Boorman (UK) john@boorman.myzen.co.uk Co-Chair John Persing (USA) john-persing@quickmail.yale.edu Members: Lars Lahoda (Germany) lulahoda@arcor.de Anil Madaree (South Africa) madaree@ukzn.ac.za, madaree@nu.ac.za Hilal Nahel (Syria) dr_nahelhilal@hotmail.com, nahel_hilal@hotmail.com Cooperation with Other Societies Sub Committee Chair: Manfred Frey (Austria) manfred.frey@meduniwien.ac.at Co-Chair: Susumu Takayanagi (Japan) misakotakayanagi@yahoo.co.jp Members: Miodrag Colic (Serbia) drcolic@eunet.yu Paolo Persichetti (Italy) P.Persichetti@unicampus.it Peter Vogt (Germany) vogt.peter@mh-hannover.de

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Swiss Made

RISING STAR

Dr. Luise Kahoro

When and why did you decide to choose plastic surgery as your specialty? In 1999/2000 while still in training for my postgraduate degree in general surgery. I was able to attend an â&#x20AC;&#x153;operation smileâ&#x20AC;? mission in Kenya and was fascinated by the results of the surgery. You are one among 16 plastic surgeons in Kenya. You must be a very busy lady. How many hours do you work per week? Roughly about 40 hours a week; sometimes more sometimes less.

You also are a working Mom. Are you ambivalent sometimes whether staying at home with the baby might have been the better decision? Being in a third world country I did not have much choice as every little extra coin goes a long way to help in meeting our family expenses. However, there are days I wish I did not have to go to work and could stay at home and attend to my son. I try, as much as possible, to spend time with him in the evenings. Who shares your domestic work load with you? I have a domestic worker who lives with me. I also live

Last one from the left and next to the IPRAS President Prof. Marita Eisenmann-Klein, Dr. Luise Kahoro from Kenya.

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with some of my extended family that helps me look after the baby. They have been very helpful and supportive. You always seem to be relaxed, calm and composed. Are you a happy person?

is difficult to get funds to train outside our region. This can be done in collaboration with institutions such as Kenyatta National Hospital and the University of Nairobi, while IPRAS could help us with faculty to teach and examine.

I like to think so and this far I am grateful to God for helping me achieve some of my life’s dreams. Share with us your experience with the “Women for Women” camp at Kenyatta National hospital, which you organized in 2010! It was a wonderful experience. I was able to work and interact with Marita, Debra and Vanessa. We screened about 10 patients. We were able to exchange ideas and share knowledge and generally bond with each other. How did the hospital staff in general react to the “Women for Women” team? They were welcoming and appreciative of this initiative. I have severally been asked by my colleagues when the next one will be organized. We would not mind if this became part of our unit’s yearly calendar at Kenyatta National Hospital.

Do you experience an increased demand for aesthetic surgery in Kenya? Oh yes! As more ladies are becoming economically empowered, they are asking for these surgeries even if they have to save for them. Internet and the media have also allowed them to access a lot of information about the various kinds of procedures and this has increased their interest. Tell us about your vision about plastic surgery in Kenya in 10 years from now!

What happened with the patients who were operated during the camp in October 2010? They all did well postoperatively. Three of them had some minor wound infection that was cleared. For one girl with post burn contracture of the hand we lost some of the correction. What expectations do you have regarding the IPRAS support for the Kenyan Society of Plastic Surgery? There is a big paucity of plastic surgeons in Sub-Saharan Africa and this gap needs to be filled. My hope is that IPRAS would support the establishment of a training centre in this region. It would offer a fellowship for trained general surgeons who are interested in plastic surgery, as it 22

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That plastic surgery would be a more easily available service to our communities that need them so that there should be at least a plastic surgeon in all the 8 provincial hospitals in our Country. This will entail a lot of training and also increase the level of interest in this subspecialty. By then, I hope we will be more than 50 plastic surgeons in Kenya and that we will affect our region by helping to train plastic surgeons from the Sub-Saharan region. And what are the visions you have for your children? That they would grow up to be God fearing men and women who would excel in all their endeavours. Is there a motto in your life? To be a woman of excellence and to be a role model for young women in my family, my community and in the world as God gives me opportunity. Thank you! Interview from Prof. Marita Eisenmann-Klein (IPRAS President)

SENIOR AMBASSADOR

Dr. Ricardo Baroudi

ur Editor-in-Chief Tom Biggs offered me two privileges: To be Senior Ambassador of IPRAS Journal and give my message after Prof Jose Guerrerosantos address. Some telegraphic concepts are registered here, in an attempt to reach my colleagues from different decades of practice. I started my basic studies at the age of 6, in 1938. I graduated from the Medical School of the University of Sao Paulo in 1957 and spent another four years training in Plastic Surgery, so it took me 23 years of investment to feel qualified to open my office. With my colleague and friend Dr Merlin Keppke, as pioneers, in 1962 we moved to Campinas City, a city 65 miles from Sao Paulo with 230.0000 inhabitants at that time, and no plastic surgeons. Today there are around 160 Plastic Surgeons working in this area, four Universities and four Plastic Surgery training departments for 1.200.000 inhabitants. Dr Merlin and I created the first Plastic Surgery training program in the Medical School of Campinas University in 1965. After 1,5 years we resigned from this department to dedicate ourselves to private activities. Another point about our partnership: it lasted for 32 years without any misunderstanding. This period finished in 1992, when I closed my office and moved to Bologna to obtain my Board License to practice in Italy. In 1997, my plans changed again, taking me back to Brazil, where I practiced in Sao Paulo for 15 years until 2009, when I decided to retire. For this action there is an interesting message: “When the act of operating gives you not much pleasure and the pleasure of operating gives you too much trouble....it is time to stop”. Months later, the Directorial Board of our Society invited me to be the new Editor - in - Chief of the Brazilian Journal of Plastic Surgery. This trimestrial journal was at the Lilac B international level for 22 years, with no more than 14 articles per issue. After two and a half years we got an upgrade to Scielo Level, with around thirty articles per issue. This year the journal will be published in English, and is scheduled to be bimonthly. Our Brazilian colleague, Dr Antonio Roberto Bozola, wrote an interesting point about our journal: “The Brazilian Society of Plastic Surgery is the second biggest in the world, with five thousand members, but not with the second best quality journal”. A huge job is still waiting for us. It is an “almost impossible mission”.

Changing the subject, regarding our professional speciality, there are three basic groups of Plastic Surgeons. First, those who love to operate, have countless excellent results, but don’t write or publish, but love to present their best results when invited and eventually attend scientific meetings. Second, those who do the opposite; have an extensive curriculum with dozens to hundreds of publications, countless scientific meeting presentations, unlimited theoretic Plastic Surgery culture, most with a University career , but are not so avid with the scalpel and finally have less time for private clinical work, with all the consequences. Specifically “private patients” means those that “Knock on the doctor’s door”. Finally there is a third group, where I have belonged during the past 55 years of my professional life, consisting of Plastic Surgeons who like to both operate and publish. It is the most active and sacrificed group. After ten hours of daily routine, the third period of the day is dedicated for weeks, months and years to preparing scientific contributions. It never ends. There are no explanations. Each one has their own limits and enthusiasm to go on. Before I continue, I am quoting a phrase written by Mark Twain in 1850. It is a lesson in discretion and modesty that I have always followed - “I don’t like to talk about myself but I don’t feel discomfort if the others do”. Breaking this concept and attending Tom Biggs’s request the article above describes our activities in the Brazilian Society of Plastic Surgery, ISAPS, IPRAS and our scientific contributions. EDITORIAL COMMENT:

SENIOR AMBASSADOR. RICARDO BAROUDI This editor has had the privilege of the friendship of Ricardo Baroudi since his first (of thirty-six) trips to Brazil. I was in Brazil for the annual meeting of their National Society in December of 1971 In San Jose Do Rio Preto. After the meeting I made an auto trip to Iguasu Falls with Melchiades Oliviera and his two sons, passing through Campinas where began one of the most fortunate of many fortunate occurrences of my life….I met Ricado Baroudi. He was living and practicing in this city near Sao Paulo. Since that day forty years ago, we have been in steady communication, and I have benefited from his wisdom, tolerance, and overall innate sense of agape more than I can write with my simple words. I can only say that he is as close as is possible to the template I and all other plastic surgeons should strive.

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HUMANITARIAN WORKS

Humanitarian Plastic Surgery Networks: a world of solidarity

Dr. Christian Echinard President, HumaniTerra

IPRAS now involves 100 National and Regional Plastic Surgery Societies from all over the world, with nearly forty thousand surgeons. Some of these countries are rich, some are poor… Developing countries have nearly no or very little access to Plastic and Reconstructive Surgery. Most of them, however, need this type of specific care very dramatically (acute burns, burn contractures, congenital malformations, nomas, post trauma defects…). One of the goals of our scientific societies should be to provide them with local training, surgical expertise and help, and technical assistance. In 2007, ESPRAS, the European Society, developed a humanitarian network, SHARE (Surgical Humanitarian Aid Resources Europe), to include the most efficient European surgical NGOs.

In 2010, IPRAS, the International Confederation, launched HUGS, the “Humanitarian Union for Global Surgery”, with the support of Marita Eisenmann-Klein, our actual President, and Nelson Piccolo, our Secretary General. HUGS is a global network aiming to provide surgical help to the developing countries. More recently, the idea of an Emergency Force, ran by IPRAS, for disaster relief in the world, was proposed; it will be the IPRAS Emergency Force, with surgical volunteers and mobile operating theaters. In this beautiful but terrible world, everything must be done to help the poorest countries to develop a better sanitary system. There is an enormous need for surgical help. There is a need for teaching surgery, a need for reconstructing surgical wards and operating theaters, a need for rehabilitation. There is also a need for

A joint surgical camp “Women for Women”/“HumaniTerra”, in Bangladesh 24

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After the earthquake in Haiti: a need for rehabilitation prevention of major risks, of surgical diseases, of severe burns, flame suicides and acid attacks… There is a need for emergency support and disaster relief, a need for active cooperation with the developing countries... IPRAS is not a Charity organization. IPRAS is a scientific society, the most important scientific Plastic Surgery society in the world, gathering over 38 000 plastic surgeons. IPRAS is not a Charity, but the role of this global organization, besides its scientific activities, and because it is a medical non-profit association, is to help the poor countries. IPRAS Foundation (formerly IPRAF), will participate in the development of the humanitarian activities carried out by the Plastic Surgeons of this planet. Its role is not to sponsor one specific NGO, but to enhance humanitarian activity through worldwide networks, for regular Plastic

A French-Italian surgical team (HumaniTerra/SHARE) in Port Au Prince: a need for cooperation

Reconstructive Surgery and Emergency Programs. It will organize lectures, courses, and round tables on this topic during the IPRAS endorsed meetings, including, if possible, a plenary session on humanitarian Plastic Surgery. This has already been done in Delhi, Rhodes, and Vancouver… and will be set up in Yerevan, Beijing, Santiago de Chile, Brussels, and many other places in the near future. The Foundation will support and help the three main projects that were elected as priority humanitarian projects in Vancouver, during the last IPRAS World Congress, last May: HUGS, IPRAS EMERGENCY FORCE, and Women for Women. HUGS (Humanitarian Union for Global Surgery) is the name of the project organized by the IPRAS subcommittee for humanitarian help. It will gather big as well as smaller NGOs, such as V.I.P.S., Interplast, Operation Smile, HumaniTerra, Medecins du Monde – Operation Sourire, Sentinelle, Women for Women, the Noma Foundation, Rotaplas and others, in a world network. Its aims are to federate all humanitarian Plastic Surgery activity under the umbrella of the biggest Plastic Surgery society, IPRAS. This will allow exchanges and joint activities, through the IPRAS website and through specific meetings. It will therefore be a great help to all our colleagues in the developing countries, but will also help young Plastic Surgeons to participate in difficult surgical camps under the guidance of senior surgeons. A specific database will be set up. It will include all surgical camps in the world, and Plastic Surgery actions. It will also contain world data per treated pathologies: Nomas, acute burns, burn contractures, congenital hands, cleft lips Issue 5

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and palates, tumor surgery… this will promote plastic surgery within the official institutional international sponsors. The IPRAS Foundation will sponsor and help the management of the world network “HUGS” and also promote one important common global humanitarian project each year, accessible to all the HUGS participating NGOs. The IPRAS EMERGENCY FORCE is the name of the humanitarian project set up by the “disaster relief” IPRAS sub-committee.

network, during the Haiti recent disaster, with 15 teams from different European countries sent there immediately after the earthquake, for a three month period. It has also been more recently been done for the Libyan conflict in Benghazi. An appeal for volunteers will be made very soon to all IPRAS surgeons, in order to set up a world database of the members, doctors, nurses, and physiotherapists. We are actually working on the mobile operating theater project. One sample of these O.Ts. is right now been built in Haiti, at the University Hospital, and will allow HUGS and SHARE teams to operate very soon. This prototype will be then developed, and carried by boat or

A group of IPRAS plastic surgeons (French-Libyan) in Benghazi, Libya: A need for emergency support. It will be composed of Plastic Surgeons from all over the world, willing to help and provide surgical help immediately after a disaster. It will be a real emergency program, for which we will need mobile structures, such as transportable operating theaters and tents, but also surgical material and consumables. It should be able to go on the site of the disaster (earthquakes, fires, tsunamis, conflicts, famines….) as soon as possible. An appeal to all medical and paramedical companies will be made, to support and help, financially and logistically, this emergency force. The human resources of the IPRAS Emergency Force will be a group of IPRAS volunteer Plastic Surgeons, rapidly available, good willing and ready to go. This is of course not easy to do, because most of the Plastic Surgeons are very busy, and cannot leave their office, on demand, at once, for several days or weeks. However this has already been organized by SHARE, the European 26

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plane on the field, as soon as possible after the disasters. A proposal has been made for the IPRAS Foundation to sponsor this common project.

The “Women for Women” project This excellent project has been founded by Marita Eisenmann-Klein and Constance Neuhann-Lorenz, a few years ago, under the umbrella of IPRAS. It is based on the idea, and the real fact, that in some countries (particularly in the developing world) female patients prefer or can only be operated on by women surgeons. A group of women surgeons belonging to IPRAS has decided to join their forces in order to achieve this task. They are currently travelling through numerous countries and are operating on women on a regular basis. Several joint surgical camps have been organized with them, among others a recent co-operation camp in Bangladesh with HumaniTerra.

Training in the temporary nursing school (under a tent) in Haiti: a need for reconstruction and teaching “Women for Women” will soon participate in other joint missions in Cambodia and Afghanistan.

Fund raising by the IPRAS Foundation We will need a lot of money in order to develop these projects and make them a success. The IPRAS foundation, recently renewed in Vancouver, will collect funds. Some of these funds will come from private donations, through a call to IPRAS members, and through a proposal to drugs companies. This will be done with the help of our partner Zita Congress, which is very much involved in Humanitarian causes. Another part of the funds will come through institutional international sponsors, such as the European Community, the U.N. agencies, international foundations…This goal will be long and not easy to achieve… but we’ll make it.

We have to join our forces… Plastic surgeons are participating in hundreds surgical humanitarian camps and missions every year. They are performing thousands of surgical procedures, free of charge, all around the world. This world of solidarity, born within our own plastic surgery group, is not yet recognized enough. We have to show that Plastic Surgery is not only cosmetic surgery… but that the best aesthetic surgeons in the world can also participate in a global project of free

In Afghanistan, gathering women for a flame suicide prevention campaign: a need for prevention reconstructive surgery for the poorest countries. We have to demonstrate that many of us can be available, in case of disaster, in world consensus of sharing. IPRAS will be the ferment of this chain of surgical solidarity all around the world. Join us and help us to help them. We need you, the World needs you! Christian Echinard. Chairman, IPRAS FOUNDATION. President, HumaniTerra Issue 5

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Women For Women by IPRAS: 2nd Mission - Chilmari Bangladesh April 23-30, 2011

In Collaboration with “Friendship” and the Emirates Floating Hospital Dr. Constance Neuhann-Lorenz, MD

About the Region of Chilmari Bangladesh, a country of “a thousand rivers” with much of its geography embedded in water, is recognized as the most densely populated country in the world by the World Health Organization. With a surface area of only 144,000 square kilometers and an escalating population of 160 million, diseases of poverty and overcrowding are rampant in the country. Living even below the poverty cutoff line for Bangladesh are the inhabitants of the northern riverbank of the Ganges-Brahmaputra delta. The people of this region are nomadic in nature and dwell on semi-permanent islands known in Bengali as “Chars”. (Figure 1) These islets, formed from the melting snows of the Himalayas, undergo constant formation and erosion from its powerful currents, and typically have a lifespan of only months to a few years. Due to its vulnerable position at the northernmost tip of Bangladesh, Chilmari, in the district of Kurigram, is a frequent victim of natural disasters, such as flooding and cyclones. This was the location of the ninth mission for Women for Women by the International Confederation for Plastic Reconstructive & Aesthetic Surgery (IPRAS).

About the bond between Women for Women and Friendship The inhabitants of the northern riverbank and char areas of Bangladesh are amongst some of the most vulnerable and marginalized people in the world. Recognizing the serious deficiencies in food supply, running water, electricity, basic sanitation and living infrastructure within the chars, Women for Women and Friendship teamed up for a second successful surgical mission between April 23rd to 30th. The local planning and on site organization in anticipation for our mission were coordinated by Friendship, a value-based Bangladeshi organization established in 1998 under the leadership of Mrs. Runa Khan. To fulfill its aim of providing essential basic services to the most inaccessible areas of the country, Friendship delivers both primary and secondary healthcare to the people living on the shifting islands through its floating hospital at the mouth of 28

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the Brahmaputra River. Through a generous startup donation and sustained funding from the Emirates Airlines, the Emirates Floating Hospital (EFH) has provided essential medical care to around 4 million people of the chars since November of 2008. (Figure 2) The ability of the EFH to be self-contained and mobile affords the hospital the unique ability to relocate every few months to serve a different char, in addition to surviving natural disasters, common to this region. The EFH is a suitably equipped hospital with one fulltime onsite medical doctor, one optometrist, 4 ward nurses, 2 OR nurses, 2 operating rooms, a pharmacy and a radiology department. (Figure 3) In addition, with the invitation of Friendship, there is a regular roster of foreign missionary teams that provide specialized medical and surgical care a few times a year, ranging from gynecology, orthopedics, cleft lip and palate and, finally, plastic and reconstructive surgery by Women For Women.

About Mission Chilmari Bangladesh In Bangladesh and other developing countries of the world, it is not uncommon for women to suffer from disfiguring physical injuries as a result of ethnic, social, marital, and other domestic disputes. Further compounding the issue of inadequate prevention and

Photo from the Emirates Floating Hospital

The Emirates Floating Hospital on the bank of the Ganges-Brahmaputra River that provides medical service to 4 million people of the Char region.

treatment of these avoidable injuries, it is known that female victims generally do not actively travel away from home to seek medical attention. As a result, they further exclude themselves from society and spend the rest of their lives hiding their physical deformities and tolerating the shame inflicted upon them by their perpetrators. The mission of Women For Women, therefore, aims to â&#x20AC;&#x153;help women suffering from physical injuries as a result of domestic abuse, war, or other socio-cultural reasons in third-world countriesâ&#x20AC;?. Women For Women (WFW) is a charity program, supported by IPRAS, and its missions are carried out by an international core group of socially conscious female plastic surgeons, who share a common vision to restore the skin and the lives of female victims of war and social crimes. The most common crime of female domestic violence in Bangladesh and other parts of South East Asia are burns, particularly acid burns to the face. This vicious form of attack is an unconscionable act that aims to disfigure the most presentable element of the female body. This is a large-scale problem that has afflicted Bangladeshi women for generations, from young to old, and from north to south. Only recently has it received its much-needed corrective attention, and today there

is a national society based in Dhaka, the capital of Bangladesh, known as the Acid Survivors Foundation. (http://www.acidsurvivors.org) During this mission 6 months ago, the Women for Women team met with ASF Founder Mrs. Monira Raman and her team to evaluate synergies and visited the ASF-center and the surgical facilities.

About the WFW Team to Chilmari Team WFW arrived in Chilmari on April 23rd and began screening potential patients the same day on the EFH. The surgical team consisted of two senior plastic surgeons, Dr. Connie Neuhann-Lorenz (President of WFW, Munich, Germany), Dr. Toni Zhong (Plastic, Reconstructive and Microsurgeon, University of Toronto, Canada), and junior plastic surgeon was Dr. Michelle Locke from Auckland, New Zealand currently completing her fellowship training at the University of Toronto. All three other members of the surgical team came from Munich, Germany, and consisted of Drs. Carola Stenzel and Christina Frey (anesthesiologists) and Mrs. Gabi Kerlstetter, a senior OR nurse. In addition, our team was privileged to have the company of Ms. Ann Christine Weorhl during the entire mission, Issue 5

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maximize the safety of the surgery and minimize OR duration, the three surgeons worked in concert and completed the entire surgery within an acceptable time frame with minimal blood loss. The patient was ambulating with assistance by postoperative day 1 and tolerating solid foods by postoperative day 3. Most importantly, for the first time in 3 years, she was able to provide personal hygiene care for herself, a right that should be basic to any adult human being.

Case 2: Dowry Dispute - Burns to the Face and Neck The Operating Theatre on the EFH

an acclaimed photographer and journalist who was working on an exposé of acid burn victims of Asia.

About the Patients For five consecutive days, from April 24th to April 28th, our team performed approximately 61 procedures in 32 patients. Many of these patients had multiple sites of burn injuries. The ages of the patients ranged from 2 to 70, and the most commonly performed procedure was burn contracture release and reconstruction using a full thickness skin graft. Since the intent of the WFW is not to be an exclusionary program embedded in feministic ideology, we also performed upper extremity burn contracture releases for two little boys who presented to EFH.

Case 1: Accidental Soot Burns to the Perineum The most complex and demanding procedure of this mission involved the release of a severe full thickness soot burn to the perineum of a 17 year-old girl. She had an extensive burn contracture of the perineum that resulted in webbing of the proximal 1/3 of her inner thigh skin. (Figure 4a) Preoperatively, she had approximately 25 degrees of abduction between her proximal legs. Functionally, due to the distal extent of the webbing in her groin and both inner thighs, she was unable to provide independent perineal care. As a result, she was rendered to an infantile status where she had to have her basic personal hygiene needs provided by her family members. After reviewing her surgical options which were limited due to the presence of full thickness burns to both her thighs and the difficult nature of healing in the perineal region, we decided to reconstruct the anticipated large perineum defect caused by release of the contracture using a pedicled right vertical rectus abdominus myocutaneous flap (VRAM). (Figure 4b) Since the EFH ORs are not equipped with ventilators which excluded the option of providing general anesthesia and paralysis to the patient, we were relegated to performing the entire surgery under regional anesthesia and conscious sedation. (Figure 4c) In addition, to 30

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A 22-year-old girl was attacked by her mother-in-law and sister-in-law the day after her wedding, by setting fire to her veiled face and sari, as a result of an unsettled dowry dispute. As a result, she sustained third degree burns to her face, neck, chest and arms. After barely surviving the initial extensive burns, she was finally repatriated by her own family for the remainder of her recovery. Feeling ashamed and worthless with her physical scars, her family had taken her to the EFH to seek our reconstructive expertise. (Figure 5a,b) She underwent release of severe burn contractures to the right side of neck with local flaps and FTSG, ear reconstruction using a superiorly based pedicled tubed flap, and release of flexion contracture of her index finger. (Figure 6a,b) Despite our reconstructive efforts at restoring some semblance of normalcy to her face and hand, she will likely remain a woman who will be permanently physically and emotionally scarred by this tragic and preventable assault.

The Future In a society built on thousands of traditional rituals and customs, intentional burn attacks on women is one ritualistic practice that must be eliminated. Even today, one Bangladeshi woman is attacked with acid every two days. Especially in the “char” regions of Northern Bangladesh, where its residents have been completely neglected by the government and foreign non-government organizations (NGO), WFW intends to strengthen its loco-regional presence in assisting marginalized female patients who have nowhere else to turn. With the support of local organizations such as Friendship, and continued funding from Emirates Airlines and other sponsors, WFW team aims establish sustainability by educating, preventing, treating, and reintegrating female victims of burn injuries. Dr. Constance Neuhann-Lorenz, MD

Plastic and Aesthetic Surgery President IQUAM President «Women for Women» - IPRAS Humanitarian Project ISAPS Chairperson Committee Government Relations DGPRAEC (German Society of Plastic, Reconstructive and Aesthetic Surgeons)

June 6th, 2011, New York Fund-Raising Gallery Night WomenforWomen Prof. Marita Eisemann-Klein President of IPRAS Member, Women for Women

Initiated by our EXCO member and Women for Women activist Andrea Pusic, the first Fund-Raising Gallery Night took place in New York, on June 6, 2011. Andrea, together with Women for Women members Alexes Hazen and Haydé Hirmand, with the full support of Andrea`s family, her husband Martin and her sons Michael and Luka, decorated the gallery with posters informing about Women for Women. The unique flower arrangements were done by Alexes Hazen, right after stepping off the plane, after presenting at the EURAPS Congress in Mykonos. We were all enchanted by Andrea`s sons, who assisted to welcome the guests and acted as the perfect hosts

Dr. Andrea Pusic’s sons

with their badges “Ask me about Women for Women”. More than 200 guests, among them New York Plastic Surgeons like Sydney Coleman and Seckin Dervish came to support Women for Women. The donations summed up to more than 38.000 USD. Andrea said in her your welcome note: “200 US Dollars are needed to change one patient`s life fundamentally. On this evening a better life was provided for 200 patients!” Thanks from the depth of our heart to Andrea, Michael, Luke, Martin, Alexes, Haydé and, last but not least, the owner of Bortolami Gallery and all those who donated! Marita Eisenmann-Klein President of IPRAS Member, Women for Women

Among others: Prof. Marita Eisenmann-Klein, Dr. Sydney Coleman and Dr. Andrea Pusic, member of the IPRAS Communication Committee and WomenforWomen

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“INTERPLAST – Germany” “INTERPLAST – Germany” performs free plastic reconstructive surgery for social underprivileged and needy patients in developing countries. The volunteering medical personnel of this NGO (plastic surgeons, anaesthetists, operating room and anaesthetic nurses and other specialists) work free of charge, usually during their annual holiday or after retirement. Travel expenses, medical supplies and instruments are funded by donations raised in Germany from industry as well as the general public. In the last years we organized about 60 camps per year all over the world. Specialists of different faculties join the 1600 INTERPLAST members and share their expertise for the benefit of the poor. INTERPLAST teams provide reconstructive operations that transform the lives of children with physical disabilities and thereby improve the future of their families. INTERPLAST has no financial, political, racial or religious interest. The aim of the surgery is to improve function, and not to do cosmetic surgery. Cooperation with local medical staff and working in their hospitals close to the patients´ home is efficient and offers education in a specialist field for all involved. Apart from medical staff, local volunteers with social commitment are essential for the preparation and the smooth running of a successful INTERPLAST camp which should be a humanitarian joint venture. Interplast supports the IPRAS guidelines for humanitarian work which are: I. Registration of humanitarian missions to facilitate and better coordinate humanitarian activities involving plastic surgeons all over the world. II. Improvement of the quality of humanitarian aid given by experienced plastic surgeons so that no harm will be done. In the humanitarian camp there is no place for cosmetic surgery and competition with the local plastic surgeons should be avoided. The humanitarian aid provided should lead to sustainable development of reconstructive plastic surgery in the receiving countries. Therefore Interplast is operating accordingly. Since 2008 all Interplast camps are registered in advance. Quality report with complication review is mandatory after every camp. Finally, integration of the local colleagues is always sought, but, unfortunately, not always managed. André Borsche Interplast Germany

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16th IPRAS CONGRESS, VANCOUVER, 22-27 MAY 2011

The Voice of Future Plastic Surgeons

Dr. S. A. Rehim

More than 1870 plastic surgeons from all over the world attended the 16th Congress of the International Confederation for Plastic Reconstructive and Aesthetic Surgery (IPRAS), held in Vancouver on 23rd – 27th of May, 2011. Thanks to the coordination and remarkable hospitality of the IPRAS 2011 organizing committee and the Canadian Society of Plastic Surgeons, many educational opportunities and a lot of entertainment was provided within a friendly and relaxing atmosphere.

an enjoyable and informative experience for all Plastic Surgeons and Residents, marking yet another IPRAS event that brings together the international community of Plastic Surgery. One of the unique effects of this year’s Conference was the introduction of “Residents Presentation Competition”. To highlight the research of young Plastic Surgeons, IPRAS has brought together more than 350 residents from around the world, to present their clinical,

Opening ceremony of the 16th IPRAS congress

With 55 free master classes and over 500 papers presented on a wide range of topics, it proved to be an extremely successful meeting, ensuring that IPRAS lived up to its reputation as one of the premiere confederations for Plastic Surgery. Vancouver 2011 was undoubtedly

laboratory and educational research. We would like to take this opportunity to congratulate the prestigious prize winners, who were presented with their awards by IPRAS Vancouver 2011 and the Canadian Society of Plastic Surgeons. These outstanding achievements Issue 5

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from future Plastic Surgeons and scientists are truly inspirational to their peers, who will continue to compete amongst each other to contribute to the future of our speciality. IPRAS 2011 Residents Awards: • International Clinical Paper Botulinum Toxin Type A Treatment for Raynaud´s Phenomenon Dr. Kelli Webb, Southern Illinois University School of Medicine

• CSPS Award for Canadian Epidemiology and Biostatistics Presentation Measuring Quality of Life and Patient Satisfaction after Facial Paralysis: A Systematic Review of Patient Reported Outcome Measures Dr. Jennifer Klok, University of Ottawa • CSPS Award for Canadian Basic Science Presentation Examination of the Factor Structure of the Michigan Hand Questionnaire Dr. Bryan Chung, Dalhousie University Another highlight was Prof. Eisenmann-Klein meeting the Residents. The focus of this meeting was to highlight areas of Residents’ training needs in their respective countries, and thereby support the work to develop practical solutions to improve training across the spectrum of Plastic Surgery. The meeting proved to be an interactive discussion between trainers and trainees, opening new frontiers for future collaboration to improve Plastic Surgery training for Residents.

Residents meeting From The left: Dr. S.A. Rehim, Prof. Marita Eisenmann-Klein, Dr. Sarah Lorenz

• International Epidemiology & Bio-statistics Paper Drains Increase the Harms in Reduction Mammaplasty: A Meta-analysis Dr.Tom Yu-Tai Su, China Medical University Hospital

Whilst surgical training is currently undergoing many changes, a move toward an outcomes-based education, focused on the achievement of core competencies, will have a significant impact on how trainees are taught and evaluated. Moreover, the implementation of the European Working Time Directive (EWTD) in some of the European countries has already imposed its challenges on the future of Plastic Surgery training.

• International Research Paper Infantile Haemangioma: Haemogenic Endothelium with Erythropoetic Potential Dr. Tinte Itinteang, New Zealand • Award for International Poster Meshed and Micrografted Skin’s Expansion Rates: Claimed, True and Estimated Results Dr. David Lumenta, Medical University of Vienna

Canadian Society of Plastic Surgeons 2011 Residents Awards: • F.M. Woolhouse Award for Canadian Clinical Presentation Non-invasive Measurement of Edema in Burn Wounds over Time Utilizing Near Infrared Spectroscopy (NIRS) Dr. Karen Cross, University of Toronto 34

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Dr. Alejandro Duarte Y Sanchez, Dr. Julio Kirshbaum, Dr. Dr. Wilfredo Calderon, Dr. Patricio Leniz

A pilot survey was conducted to evaluate the trainees’ opinions on the adequacy of their own training programs. This survey included 32 residents representing Plastic Surgery training programs from 9 different countries. The results of this evaluation were of great interest and illustrated the potential improvements that may be required to deliver more effective training

Press conference during 16th IPRAS congress. From the left: Dr. Yi Lin Cao, Prof. Andreas Yiacoumettis, Dr. Nelson Piccolo, Prof. Marita Eisenmann-Klein, Dr. Brian Kinney. On the podium: Dr. Don Lalonde

in Plastic Surgery worldwide. There was a general consensus amongst trainees, that progression within the program should be competency-based, however it was acknowledged that limited exposure or lack of structured training may have major implications on this. When trainees were asked about the adequacy of their training in certain areas, aesthetic, craniofacial, and paediatric Plastic Surgery, were areas highlighted as deficient amongst trainees. Although the conclusions that can be drawn from this survey are limited due to the small numbers

of respondents, the results give scope for further investigations on a much larger scale. The survey may be regarded as a platform for trainees to voice their concerns and opinions on current and future practices within training programs. A follow-up survey may need to be conducted, in which trainees from all over the world can be invited to disclose their opinions and suggest improvements for the current training programs, the results of which may produce a highly beneficial impact on the future of Plastic Surgery education and training opportunities on a global scale. The Conference was much more than scientific presentations and educational classes. It was also an excellent opportunity to network with trainees from all over the world. Over the past two years Dr Don LalondeChairman of the Canadian Organizing Committee along with an enthusiastic group of Residents from British Columbia, Nottingham UK, and Texas have worked relentlessly to bring the best out of this meeting, both scientifically and socially. Finally, after another long day of scientific presentations, Residents had a chance to become acquainted with each other and team up yet for another exciting competition â&#x20AC;&#x153;The amazing IPRAS Residents raceâ&#x20AC;?! The participants all had great fun and shared unforgettable moments whilst running through the vibrant streets of downtown Vancouver, ending at a local pub watching the Vancouver Canucks and the San Jose Sharks in a memorable game of ice hockey with the Vancouver Residents.

Dr. Peter Neligan, Chair, Scientific Program Committee

See you all at the next IPRAS Santiago, Chile 2013 with another fascinating experience! S.A.Rehim MB BCh, MSc, MRCS Resident, Plastic Surgery, Nottingham UK. Issue 5

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Evidence-based medicine at the 16th IPRAS congress in Vancouver, BC Prof. Dr. Karsten Knobloch, FACS Plastic, Hand and Reconstructive Surgery Hannover Medical School, Germany

Striving for high levels of evidence-based medicine clinical trials is key to guide and support clinical decision making1. As such, monthly journal clubs and self-directed assignements have been shown, in a recent study from London, Ontario, Canada2, to improve evidence-based skills in Plastic Surgery residency training. Randomizedcontrolled trials (RCTs) are believed to reflect the gold-standard in plastic surgery3 an beyond. However, the conception, planning and execution, as well as the reporting of RCT in plastic surgery is challenging4. As such, Dr. Rohrich stated: â&#x20AC;&#x153;So you want to be an evidencebased plastic surgeon? A lifelong journeyâ&#x20AC;?5.

Evidence-based medicine in Plastic Surgery journal publications Given the broad field of Plastic Surgery, with its subdisciplines of reconstructive surgery, aesthetic surgery, hand as well as burn surgery, a lack of randomizedcontrolled trials (RCTs) is evident. As far as journal publications in the four major plastic surgery journals are concerned (Plastic Reconstructive Surgery, Annals of Plastic Surgery, Journal of Plastic, Reconstructive and Aesthetic Surgery, American Journal of Aesthetic Surgery) a survery among all published clinical trials in 2007 revealed that only 2.2% of those were Level I evidence studies6 (i.e. meta-analyses and randomized controlled trials with narrow confidence intervals). The average level of evidence was Level III, which are cohort studies. Comparing the Level I evidence from 1978 to 2009 among various Plastic Surgery Journals, there was a steady increase of such studies7, a fact supported by two other studies8,9.

low, often lower than 10%. As such, at the ASPS 2008 meeting, a total number of 9% of all conference 159 abstracts were randomized-controlled trials, with 5% being presented as oral abstracts and 4% as poster presentations10. As far as burn surgery is concerned, the American Burn Association (ABA) meeting in 2008 included 252 abstracts with a total number of 7% being RCTs (5% oral presentations, 2% poster presentations)11. In line, the 2008 annual meeting of t he American Society for Surgery of the Hand (ASSH) included 10% RCTs.

Evidence-based medicine at the IPRAS 2011 congress The recent IPRAS 2011 meeting in Vancouver, BC produced 697 published abstracts in the Canadian Journal of Plastic Surgery12 (figure 1). Five hundred and

Evidence-based medicine in plastic surgical conferences As far as conference abstracts are concerned, the reporting rate of randomized-controlled trials is generally 36

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Figure 1. 697 IPRAS abstracts published with 84% clinical trials, 8% experimental studies and others.

References 1. Cheung MC, Allan BJ, Yang R, Thaller SR. Evidencebased medicine and its role in plastic surgery. J Craniofac Surg 2011;22(2):385-7. 2. Temple CL, Ross DC. Acquisition of evidence-based surgery skills in plastic surgery residence training. J Surg Educ 2011;68(3):167-71. 3. McCarthy CM. Randomized-controlled trials. Plast Reconstr Surg 2011;127(4):1707-12. 4. Knobloch K. Surgical randomized-controlled trials and CONSORT 2010. Ann Surg 2011;253(3):633-4. 5. Eaves FF 3rd, Rohrich RJ. So you want to be an evidence-based plastic surgeon? A lifelong journey. Aesthet Surg J 2011;31(1):137-42. Figure 2. Level of evidence of 567 clinical IPRAS conference abstracts in Vancouver, BC, 2011.

6. Sinno H, Neel OF, Lutfy J, Bartlett G, Gilardino M. Level of evidence in plastic surgery research. Plast Reconstr Surg 2011;127(2):974-80. 7. McCarthy JE, Chatterjee A, McKelvey TG, Jantzen EM, Kerrigan CL. A detailed analysis of level I evidence (randomized controlled trials and metaanalyses) in five plastic surgery journals to date: 1978 to 2009. Plast Reconstr Surg 2010;126(5):1774-8. 8. Momeni A, Becker A, Antes G, Diener MK, Blümle A, Stark GB. Evidence-based plastic surgery: controlled trials in three plastic surgical journals (1990-2005). Ann Plast Surg 2008;61(2):221-5. 9. Chang EY, Pannucci CJ, Wilkins EG. Quality of clinical studies in aesthetic surgery journals: a 10year review. Aesthet Surg J 2009;29(2):144-7. 10. Knobloch K, Yoon U, Vogt PM. Quality of reporting in poster versus oral presentations at the American Societ of Plastic Surgeons 2008 conference in Chicago. Plast Reconstr Surg 2010;125(5):219e-221e.

Figure 3. Mean level of evidence of all 567 clinical trial abstracts, 480 oral and 255 poster abstracts.

sixty-seven clinical trial abstracts were analysed according to the underlying study design (figure 2). Among all clinical trials, three meta-analyses of randomizedcontrolled trials were presented, accounting for 0.5%. Fourteen randomized-controlled trials accounted for 2.5% of all clinical trials. Observational studies were the predominant clinical trial design in 52%. Case series and case studies accounted for 29% and expert opinions for 16% of all clinical trial abstracts. Overall, the mean level of evidence was 3.54±0.9, with no significant difference between the 480 oral abstracts (3.5±0.9) vs. 255 poster abstracts (3.7±0.7).

11. Knobloch K, Yoon U, Vogt PM. Randomizedcontrolled trials and CONSORT reporting qualityan evidence-based analysis of ASPS, ABA and ASSH conference abstracts. Plast Reconstr Surg 2011 (in press) 12. The 16th World Congress of the International Conferation for Plastic, Reconstructive and Aesthetic Surgery. Can J Plast Surg 2011;19 (Suppl A):1A192A. Prof. Dr. Karsten Knobloch, FACS Plastic, Hand and Reconstructive Surgery, Hannover Medical School, Germany, knobloch.karsten@mh-hannover.de

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IPRAS BOARD OF TRUSTEES

IPRAS: A Personal Recollection

Prof. Ivo Pitanguy

I was a young apprentice, together with Tom Rees and Ralph Millard, when I first heard that a small group of young plastic surgeons decided to create the first society to expand the knowledge of this new specialty. This happened at a meeting in London, in 1951. The organizer of the group was someone with whom I would create a solid friendship: Tord Skoog. With his deep sense of dedication to teaching, allied with his personal leadership, Skoog founded the Confederation in 1955, and became its first Secretary General. Some of his cofounders I came to know quite well: Gillies, McIndoe, Barrett-Brown, Webster, Dufourmentel, Burian, among others. The 1st Congress in Uppsala marked the beginning of a long tradition of meetings that gathered both the experienced and the novice plastic surgeon, every four years, in cities around the world. In the following decades, as each country aggregated their members in national associations, IPRAS spawned several major societies that today represent the whole range of our specialty. Yet we should not forget the mission-statement of our very first Confederation: to promote plastic surgery clinically and scientifically, educating our younger colleagues, and tightening the bond between specialists in all countries. When I returned to Brazil, in the late 1950’s, after a very enriching educational experience in the USA and Europe, I was determined to teach what I had learned. By uniting my private clinic with the 38th Ward of the Santa Casa General Hospital (a charity institution), in 1962 I began a residency program that – over these many years – has trained over 500 plastic surgeons, in 42 different countries. With a group of dedicated assistants, our school has been actively involved in all aspects of plastic surgery, both reconstructive and aesthetic: education and clinical practice; research and investigation. I firmly believe that this has been done in the true spirit of IPRAS. As a privileged actor, and also spectator, it has been 38

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exciting to follow the development of our specialty, from a young seedling to a mature, multi-branched tree over more than 50 years. Participation in all of the IPRAS quadrennial meetings was a personal commitment that has given me great pleasure. Revisiting old friends, meeting new ones and exchanging experiences are some of my fondest memories of our Confederation. Looking to the future, I am sure that plastic surgery will carry on thriving, absorbing new technologies and techniques. Cell reproduction and derivation will set the stage for whole tissue regeneration, and it will continue to be the work of the plastic surgeon – together with a multidisciplinary team – to restore function and aesthetics following trauma or the ravages of senescence. There will be no shortage of skin envelope to cover large wounds, once dermal cell replication becomes a staple of the reconstructive laboratory. Heterologous grafting, today in an unsure footing, will become safe and predictable. Many of the operations currently performed – with large scars and risk to flap survival – will be noticeably improved. The healing process itself will certainly be controlled in the age of biotechnology, allowing less noticeable scars. It is my hope that IPRAS and its national societies will continue to be the forums where innovation will be presented, where the inquisitive mind will find others equally curious, so that plastic surgery may evolve within the framework of two principal objectives: to generously pass on knowledge to the next generation, and to assure safety to our patients. Ivo Pitanguy Head-Professor of the Plastic Surgery Departments of the Pontifical Catholic University of Rio de Janeiro and the Carlos Chagas Institute of Post-Graduate Medical Studies. Member (and patron) of the Brazilian Society of Plastic Surgery, the National Academy of Medicine, and the Brazilian Academy of Letters. Visiting Professor, I.S.A.P.S. FICS, FACS.

Formation of the “IPRAS Trustees”

Prof. K. Güler GÜRSU, M.D.

I suppose I should start this article by congratulating the IPRAS Executive Board for taking a brave and much applauded decision to create a new Board entitled “Lifetime Trustees”, and then continue by thanking them for honouring me to be one of the members of this new force. When I was asked to write my thoughts and feelings about this new body and IPRAS in general, I must admit I did not realize that I would be both bewildered and uncomfortable. Bewildered, because, my relation with IPRAS goes way back to 1955 and I am not sure how to talk about a relation without making it personal. Uncomfortable, because I am sure that, there are so many other members of IPRAS, who are more knowledgeable then I. However, I shall try to give you my own experiences with IPRAS, and what it meant to me for the past 45 years. Above all, I shall try to share my thoughts with you, about, what this new responsibility means to me, as well as what it should really mean to our younger generation of plastic surgeons. Here we are; yes, the summer of 1955... I was an exchange medical student in Göttingen University Medical School. I had chosen this university because of the information I had received concerning a professor doing Cleft Lip & Palate operations, which attracted me like a magnet but had, thus far, observed no such operation. However, to my great disappointment the professor was not in the hospital, at that time, because he was attending a meeting in Sweden. Therefore, I had ended up in Thoracic Surgery instead. Yes, this was the year of the first International Congress of IPRAS (then IPRS) in Stockholm, Sweden. Like most relations, it had started on a wrong foot. Later on, I learned that the second Congress took place in London, Great Britain, in 1959. Even though I was not there personally, this particular date also holds an important role in my life, because two unforgettable pioneers, the fathers of Plastic Surgery in Turkey, Drs Halit Ziya Konuralp and Cihat Borçbakan were there

(as in 1955) and demanded an explanation “why the Turkish Flag was not displayed along with the others? ”The answer was simple .They were told that, after those two meetings, it had been decided to turn this group into an international organization This was going to be a group, formed by the National Plastic Surgery Societies. Therefore, unless they had a Society, they could not be officially included. Receiving this response and information, upon their return to Turkey, they immediately brought a group of surgeons together and formed the Turkish Society of Plastic Surgery in 1961. What a wonderful coincidence that, this year marks the 50th anniversary of both IPRAS and TSPRAS. However, this platonic relation from a distance, without knowing each other personally, finally became a reality in 1963, when, as a young trainee from New York, I registered in the 4th IPRS Congress in Washington, D.C. and attended for the first time. So, from 1965 on, we have never parted. IPRAS became my guiding light in my adventure of creating a teaching program in Turkey. This relation was blessed in 1967 with my first paper presentation of 8 Pseudo Median Clefts, 2 posters; “Statistical study of 172 CL & CP in a period of 18 months” and a case presentation of a” Unusual Facial Cleft with 6 nostrils, and Related Orbital Deformities”. This was the beginning of an international involvement, therefore since the Rome Congress, Article 5a of the By-Laws (then) became our rule in creating teaching centres and in preparation of the curriculum. We adopted the Anglo-Saxon model for training programs and had our first National Congress in 1968, with Prof. Tord Skoog as a guest. This has continued, uninterrupted, until today, every other year. The evaluation and progress of Turkish Plastic Surgery, as well my own history since then, in relation to IPRAS, is another, personal as well as professional, story.

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However, in respect to our professional relations in summary, I was involved as the National Representative of Turkish Society of Plastic and Reconstructive Surgery to IPRAS, for a very long time. Following the establishment of chapters, Turkey had the honour of hosting both the 6th Congress of the European and 5th Congress of the Asian-Pacific Section in 1989 in İstanbul. I believe this occasion is still remembered by many.

Therefore, as a proud member of the organization, it is my firm belief that the creation of the “Lifetime Trustee Board” sprung from this necessity. This title was neither given to us, nor accepted by us just to be recognised or honoured. Just the contrary, I strongly believe that we were chosen to continue to work for the excellence of our Profession by sharing our knowledge and experiences and,

All educational and ethic-oriented Organisations in the field have rightfully and wisely followed the path of IPRAS in these past years, consequently being members of IPRAS, which now is the one and only real, unquestionable identity in our specialty. Other identities of course were and will continue to be added as time goes on. As I would like to emphasize here, the fact remains that the validity of our training and recognition as Plastic Surgeons is established by IPRAS. In an age of global changes in every aspect of our lives, and in any specialty, plastic surgery is going through a painful period as well. After years of studies, both clinical and experimental, when we had achieved to be the top of all possible excellences in all domains of plastic, reconstructive and aesthetic surgery,

Prof. Gursu Guler awarding by IPRAS President Prof. Marita Eisenmann-Klein

whenever possible, to assist in the formation of the new developments of either the training or the practice of our profession, within the established guidelines of IPRAS. Young men and women need to know that they are not alone at the wolves table; we have all gone through difficult times due to the circumstances of every period we were in. As long as you have a sound training, respect for your patients, your colleagues and, above all, yourself, you will be successful and, most importantly, content and at peace with yourself. This path is going through IPRAS, sincerely believing in it, just as we must believe in the Hippocratic Oath as a word of honour to the profession and to our patients, to whom we owe our existence…. Among Others: Prof. Andreas Yiacoumettis, Prof. Daniel Marchac, Prof. Gursu Guler, Prof. Marita Eisenmann-Klein, Prof. Paulino Morales

(like microsurgery, transplantations of tissues, organs etc just to mention few) we are facing unequal, unethical and, above all, even non-medical interventions to our specialty. Not only is the value of knowledge by training and the evaluation of skills by proper, legal channels being interfered with, but also, these necessary requirements are under attack by so many. These developments are targeted to destroy and demolish our specialty. There are so many on the waiting list to take away one part of this deliciously prepared meal, the right recipe of which took almost a century to prepare. 40

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With my most sincere thanks to everyone in my life who had a hand in my being what I am today, including my parents, teachers of all educational levels, my national and international friends, colleagues, my residents, students, my dear patients and, of course, IPRAS. This honour below was not bestowed on me alone, it belongs to all of you and, of course, to my country for the tremendous progress that she has made in Plastic Surgery. Professor K.Güler GÜRSU, M.D. Retired Chairperson of Plastic, Reconstructive and Aesthetic Surgery Department Hacettepe University Medical Faculty Ankara- TÜRKİYE Lifetime Trustee of IPRAS

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SURVEYS

‘‘Lunch Time’’ Suture Suspension Lifting

Dr. Bishara S Atiyeh

Surgical lifting has been the standard of care for providing a radical solution and achieving dramatic improvements in the face and neck. There is, however, a growing trend nowadays for patients to seek the least invasive treatments possible with less risk of complications and downtime. Minimally invasive suture suspension of the face has gained prominence with the advent of the socalled ‘‘lunch-time’’ face-lift. This procedure entails the passage of sutures under the skin of the face and neck. It avoids large incisions and significant undermining. Although there has been substantial mention in the popular press, little information exists in the plastic surgical or dermatologic literature regarding the safety, efficacy, longevity, or complications of these suspension procedures. Multiple techniques now in vogue with simple transcutaneous elevation of soft tissues with various smooth looping or barbed sutures placed at various points in the face have been described; they may provide simple solutions to some conditions, but all lack evidence of follow-up beyond the immediate or very short-term postoperative period. It is really surprising that serious long-term studies and peer-reviewed data about longevity and patient satisfaction following such suture lifting procedures are notoriously lacking. The few clinical studies that exist do not offer any level of evidence more than level III. Most fall short of confirming the claims of fewer complications and improved patient satisfaction compared with standard techniques. Yet that did not stop numerous television shows and even physicians

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from heavily advertising and promoting with unbridled enthusiasm transcutaneous suture lifting. Although there may be many theoretical and real advantages to using suture suspension and despite some reported satisfactory results of minimally invasive facelifts in cases involving the jawline and upper neck, tissue relaxation invariably occurs. Results are disappointing and have failed in terms of long-term maintenance of repositioned soft tissue and often result in visible threads, extruded threads, broken threads, or traction lines at rest or with animation. Moreover, evidence-based information on the fate of the implant materials is lacking. Unfortunately, Aesthetic Surgery relies heavily on patients’ feedback to determine success. However, the type of feedback received depends on how carefully questions are selected. The most well-intentioned physician can easily end up promoting a procedure of limited benefit. Plastic Surgeons are quite justified in being skeptical about new procedures that sound too good to be true. Currently, no consensus on an optimal subdermal suspension thread or an optimal placement pattern has been reached, and unfortunately, a safe and effective ‘‘lunch hour’’ procedure for elevating and redraping the soft tissues in an upward direction, with minimal or no patient downtime, is still eluding us. Barbed sutures “lunch time” lifting: evidence-based efficacy. J Cosmet Dermatol. 2010 Jun;9(2):132-41. Bishara S Atiyeh Saad A Dibo Michel Costagliola Shady N Hayek

CO2 Fractional laser skin resurfacing A new era in facial rejuvenation & combined plastic surgical techniques

Dr. Paraskevas Kontoes

Introduction Lasers have a long history in aesthetic plastic surgery. First used as cutting devices, in the early 90’s, they were subsequently applied for skin resurfacing procedures, many times in combination with a surgical procedure (1). Lately, fractional resurfacing has emerged as a “limited adverse effects” procedure (2) for skin rejuvenation either stand-alone or in conjunction with cosmetic surgery.

Material & Method From June 1997 until June 2009, 1157 patients underwent laser assisted blepharoplasty (3) and 317 patients underwent face lift combined with ablative CO2 laser skin resurfacing by the senior author (PK). Laser skin incision and laser skin resurfacing of the lower eyelid was performed in 397 and 872 blepharoplasty cases respectively. Full face or partial skin resurfacing was performed in 207 of the patients who underwent face lift combined with CO2 Laser operations. Since September 2007, 495 sessions of CO2 facial fractional laser resurfacing were performed in 187 patients. Patients were given questionnaires to evaluate the quality of their scars following laser or cold blade incisions in laser assisted blepharoplasty. Patient and physicians evaluation of the procedures’ outcome was recorded.

Results The quality of scars in laser skin incisions fared significantly lower compared to steel ones. Laser skin resurfacing of the eyelid or the whole face skin yielded satisfying end results, but with a significant number of patients experiencing side-effects and long lasting postprocedure sequelae (erythema, hyper-pigmentation etc) which sometimes required extra treatments to resolve (4). Return to everyday activities was achieved a lot

earlier by patients who did not have their skin laser resurfaced. Fractional laser skin resurfacing achieved inferior results regarding skin texture compared to full ablative resurfacing and required multiple sessions. However, fractional resurfacing was rated by most patients as an “over the weekend” procedure and patient downtime was significantly less than full ablative resurfacing. In both groups the final results were rated higher than if face lift or blepharoplasty were conducted alone.

Conclusions CO2 laser is an excellent adjuvant to traditional facial aesthetic procedures as a cutting device (excluding skin incisions) because it minimizes blood loss and surgical time. Laser skin resurfacing has shifted over the years from full ablative procedures to the more sophisticated fractional ones which can complement the results of surgery in terms of skin texture.

References 1. Kontoes P. Combined laser and aesthetic surgery techniques for the rejuvenation of the facial area. Hellenic Plast Surg 2001;1:31-42 2. Gold M. Fractional technology: a review and clinical approaches. J Drugs Dermatol 2007;6:849-852 3. Kontoes P, Lambrinaki N, Vlachos S. Laser-assisted blepharoplasty and inferior lateral retinaculum placation: skin contraction versus skin traction. 2007;31:579-585 4. Kontoes P, Vlachos S. Intense pulsed light is effective in treating pigmentary and vascular complications of CO2 laser resurfacing. Aest Surg J 2002;22:489-491 Paraskevas P Kontoes, LaserLight Clinic, Athens, Greece Dept. of Plastic Aesthetic & Laser Surgery, “HYGEIA” Hospital, Athens, Greece Issue 5

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IN LOVING MEMORY

Obituary of D. Ralph Millard, Jr., M.D. June 4, 1919 - June 19, 2011 The world of Plastic Surgery has lost one of its most iconic figures with the passing of D. Ralph Millard, Jr. A Life Member of ISAPS, Dr. Millard died quietly at his North Miami Beach home on June 19th, at the age of ninety-two. An indefatigable scholar, lecturer, author, educator, innovator, and master clinician, he will be most remembered for the power of his thought. At once creative, original, and brilliant…he was also disciplined (principled, he would have said), bringing an aspect that is not always, or even often, associated with the concept of genius. From an early age, he shunned the prosaic and routine: in his approach to his own education and training in Plastic Surgery (with a minimum of time devoted to prerequisite general surgery, his was a patchwork exposure to many of the greats of the day, with his transformational year under Gillies falling early rather than later within the cycle), in his extensive authorship (wherein he broke all the rules then in place for medical writing, beginning with his classic collaboration with the now Sir Harold, The Principles and Art of Plastic Surgery, as unconventional in its day as it remains entertaining, even to this day), in his scientific presentations (when his name was announced from the podium of the First International Congress of Plastic Surgery in Stockholm to present his revolutionary paper on unilateral cleft lip repair, the young unknown began his formal presentation in a stentorian voice from the rear of the hall and continued all the way to the dais, adding the additional “in transit” minutes to his total

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presentation time), and, of course, in the daily planning and execution of the repairs he brought to his most difficult reconstructive challenges. That some prickly, more senior members of the plastic surgical establishment would find him brash was no surprise. But this penchant was then compounded by his compulsive commitment to straight talk and frank opinion, a bluntness that, while admirable and refreshing to many, was impolitic to some and incendiary to a few-who would take unconcealed umbrage at his remarks and assessments. Thus, early on, his membership in national societies would be blocked for extended periods. In spite of this, he was elected President of both the Plastic Surgery Educational Foundation and the American Association of Plastic Surgeons, as well as Vice-Chair of the American Board of Plastic Surgery…all positions that brought him pride. The arrogance that some attributed to him was never in evidence to this trainee, who spent two years with him following a residency taken elsewhere; instead, I saw only profound humility for his best efforts (and they were always his best efforts) on behalf of his patients, especially those with more serious deformity. In common with other great individuals, he remained his harshest, most unforgiving critic. It was also refreshing to be in the company of one who, in the mid 1970s, approached aesthetic surgery with the same dedication and respect that he did all of Plastic Surgery. He was a pioneer in rejuvenation of the neck and the first to advocate submental lipectomy. He

also confirmed for me that great modern Plastic Surgeons were most often masters in both arenas: the aesthetic and the reconstructive. His interests in Plastic Surgery were wide-ranging, and he found himself especially drawn to some of its most intractable challenges, only two of which I will note here. Cleft lip and palate, of course, presented a lifelong devotion, and his rotation-advancement operation for repair of the unilateral cleft lip remains a universal standard, still embraced in the over-whelming majority of repairs world-wide. So is his extensive, three-volume text, Cleft Craft, which garnered multiple awards for medical writing, the definitive work on the subject. Nasal reconstruction, and especially total nasal reconstruction, was another such area where Millard created outcomes never before realized. He established sound planning and operative principles for this most humbling of plastic surgical undertakings and brought them together (along with those for primary and secondary aesthetic rhinoplasty and congenital--especially cleft--rhinoplasty) in A Rhinoplasty Tetralogy. It is no coincidence that current leaders in the field, Gary Burget and Fred Menick, are both Millard trainees. Among his major works I must also cite Principlization of Plastic Surgery, which focuses not on any specialty area within the field or any atlas of its operations, but rather on the thought processes that should underpin proper diagnosis and treatment throughout Plastic Surgery. This unique work brings to a culmination a career of reflection and analysis in the complex field of Plastic Surgery, a thought process that had been awakened in him those many years ago by Gillies. Millard was an internationalist in every sense of the word and appreciated early on the world-wide distribution of talent in plastic surgery. He was understandably fond of things British, dating from his time with Gillies, and was proud of his Honorary Fellowships in the Royal College of Surgery of both England and Edinburgh, as he was the Order of Distinction from Jamaica, bestowed by the former British colony in appreciation for his many missions to that island to perform volunteer reconstructive surgery. In his many years as Professor and Chief of Plastic Surgery at the University of Miami, he trained more than 180 residents and fellows, many of whom he followed throughout their careers. Less than 60% of these, however, were American; the remaining 40% were international, many of them now in positions of leadership within some 35 countries. And as he had also drawn so much from his early visits to overseas masters of Plastic Surgery, so did he open wide the doors of his Miami program to visitors from around the world. And visit they did; a typical morning in Operating Room Number One at Jackson Memorial Hospital presented

the sleeping patient, with Millard seated comfortably on an oversized purple cushion with embroidered crown (a gift from his nurses), assisted by a much-less-comfortable resident or fellow craning from a distance to keep his attached headlight beamed exactly on the operative site (Millard demanded precise, focused lighting, but would not be bothered with the wearing of a headlight himself), a highly efficient and practiced scrub nurse, and a gaggle of some half to a full dozen visitors, all jockeying for a better look…while trying to avoid the attention that might well send an unsettling question their way from the intimidating Millard. His three greatest loves were, foremost, his family, followed in turn by plastic surgery itself, and then athletics. While an undergraduate at Yale, he lettered in boxing, wrestling, and football. He often credited the self-reliance he found as Captain of the Yale Boxing Team with the success in many of his life struggles that followed. This same love of sports is among the many gifts he has passed on to his three children: to elder son Duke, who played football for Harvard (where Millard had received his M.D.); to son Bond, who enthusiastically coaches scholastic football to this day; and to daughter Meleney, some of whose track records remain unbroken at her Miami high school (more than three decades later). Those who had the privilege of getting to know him found a surprising shyness about this man, who had so little penchant (or patience) for small talk. But if the topic turned around a legitimate controversy in Plastic Surgery (or boxing), he opened up. He knew and counted his enemies, perhaps more than he needed to, but he was blessed with a wealth of uncommonly true friends. But among the many, his most ardent supporter, his most trusted advisor, and his most loyal friend remained his wife, who sadly preceded him in death by more than a decade. When his remarkable and beautiful Barbara fell fatally ill, he abruptly retired from the practice of Plastic Surgery that he loved so well to devote himself entirely to the final days of one he loved more. And with her passing, he was left—in the brief span of a few months--bereft of both. He moved from his house in Miami (he couldn’t bear to be there without her) to an apartment near Bond, to which he gradually and increasingly confined himself. Tony Wolfe, his loyal resident and then partner in practice, visited him regularly throughout his final decade, bringing enthusiastic young residents and fellows to meet the Great Man…attention he clearly enjoyed. Our specialty is fortunate that this special man chose to come our way. He left it a richer and deeper discipline than it had been before. I fear, however, that his ilk will not soon come our way again. J. William Little, M.D.

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NATIONAL ASSOCIATIONS & PLASTIC SURGERY ORGANIZATIONS’ NEWS

Argentinean Society of Plastic Surgery (SACPER) We have pleasure to notify the new Executive Committee of the Argentinean Society of Plastic Surgery for the period April 2011-April 2012.

The list of Officers is as follows: President: Martha Mogliani, MD Vicepresident: Luis Ginesin, MD General Secretary: Omar Ventura, MD Assistant Secretary: Claudio Saladino, MD Treasurer: Gustavo Prezzavento, MD l Assistant Treasurer: Alberto Abulafia, MD. Secretary Proceedings: Raúl Tolaba, MD

Armenian Association of Plastic Reconstructive And Aesthetic Surgeons (AAPRAS) THE AAPRAS CONGRESS “An Example of Synchronized Cooperation and Successful Outcome” By Gevorg Yaghjyan and Efi Papachristou On June 28th -30th, 2011, the Armenian Association of Plastic, Reconstructive and Aesthetic Surgeons (AAPRAS) organized its 3rd International Congress on the Unfavourable Results and Complications in Plastic Surgery. The Congress of 2011 took place in Yerevan, and was co-organized by the Yerevan State Medical University and hosted at the Conference Hall of Yerevan State Medical University. The Congress was organized under the auspices of IPRAS (the International Confederation for Plastic,

Press Conference

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Reconstructive and Aesthetic Surgery), ESPRAS (the European Society for Plastic, Reconstructive and Aesthetic Surgery) and ISAPS (the International Society of Aesthetic Plastic Surgery). Aside from their endorsement, they also sponsored 36 young Armenian residents and 4 residents’ participation in this Congress. This significant scientific event attracted many highly esteemed Plastic Surgeons from all over the world, including members of the Armenian Diaspora of Plastic Surgeons. The renowned attendees of the Congress engaged in a constructive dialogue on Plastic Surgery complications and made groundbreaking scientific contributions on the latest Plastic Surgery developments. Another goal of the Congress was to establish and maintain cooperation with Plastic Surgeons from different countries throughout the world, ensuring the improvement of Plastic Surgery quality and treatment outcome in Armenia, through the exchange of information and professional experience. The scientific importance of the Congress is demonstrated by the presence of many members of the IPRAS Board of Directors, such as IPRAS President Prof. Marita Eisenmann - Klein, the Secretary General Dr. Nelson Piccolo, the Deputy Secretary General for Europe Dr. Andreas Yiacoumettis, and the Chairman of the Scientific Advisory Board Dr. Daniel Marchac. IPRAS is the only Global Confederation for Plastic, Reconstructive and Aesthetic Surgery, representing 40.00 Plastic Surgeons in 100 Nations and Regions worldwide.

Opening Ceremony The 3rd International AAPRAS Congress officially began on June 26th with an Opening Ceremony attended by several important Armenian personalities and internationally renowned Plastic Surgery experts, including a few of the newly elected Board of Directors of IPRAS. Welcome speeches were given by the Minister of Health of Armenia Mr. Harutyun Kushkyan, the Rector of Yerevan State Medical University, Mr. Derenik Dumanian, IPRAS President Prof. Marita EisenmannKlein (Germany) and ESPRAS President, Dr. Andreas Yiakoumettis (Greece).

Press Conference The opening ceremony followed the launch of a successful Press Conference, organized by IPRAS Media Office, with the help of the Armenian Local Organizing Committee. The Press Conference was covered by some of the most popular Armenian Media, including 6 TV stations, 3 News Agencies, 1 Radio Station and various online Media. The total number of participating media is estimated on 30. Key Speakers of the Press Conference were the IPRAS President, Prof. Marita Eisenmann Klein, IPRAS Executive Director, Mr. Zacharias Kaplanidis, ESPRAS President, Prof. Andreas Yiacoumettis, AAPRAS President, Prof. Armen Hovhannisyan and the President of the Local Organizing Committee, Prof. Gevorg Yiaghjyan. In an attempt to reach the public via the media, the speakers presented new and interesting data on Plastic Surgery and confirmed how much progress has been made lately in Plastic Surgery in Armenia. IPRAS President, Prof. Marita Eisenmann-Klein, welcomed the journalists, congratulating all the Armenians for the efforts made to re-establish the institutions of their country. During her presentation on Breast Reconstruction after Oncological Resections, Prof. Eisenmann-Klein explained that reconstructive and aesthetic surgery have to go together and underlined that breast deformities are a very common phenomenon in Armenia Additionally, introducing IPRAS to the Armenian Media, Mr. Zacharias Kaplanidis, Executive Director of the Confederation, stated that every qualified Plastic Surgeon in the world has to be an IPRAS member and briefly presented the IPRAS aims and scopes, which are the promotion of educational and research activities worldwide, the creation of a code of ethics in Plastic Surgery, the provision of advice on international law, on medical practices and on security guidelines and highlighted that the most important dimension of IPRAS is its humanitarian missions.

Prof. Armen Hovhannisyan, President of the Armenian Society of Plastic Surgeons and Prof. Marita Eisenmann-Klein, IPRAS President

The President of the 3rd International Congress, Prof. Gevorg Yaghjyan and Prof. Armen Hovanessyan, President of AAPRAS, with Board Member Dr Karen Danileyan, were invited to the most popular TV show on the H1 Governmental Channel, where the importance of this type of congress for Armenia was discussed and also that Plastic Surgery is not a medical discipline used only for aesthetic reasons, but one that can alleviate both physical and emotional pain. The interviews and information about congress and public day was spread among main media in Armenia and Diaspora. During the days of the Congress, the IPRAS President, Prof. Marita Eisenmann - Klein, also participated in a 30-minute TV show on â&#x20AC;&#x153;SHANT TVâ&#x20AC;?

Scientific Programme The Scientific Program of the Congress was multidisciplinary, encompassing topics from all the Plastic Surgery domains. Top experts participated with their remarkable presentations, covering the following

On the podium, Prof. Gevorg Yaghjyan, President of the 3rd International Congress on the Unfavourable Results and Complications in Plastic Surgery

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Plastic Surgery thematic: face, rhinoplasty, breast, body contouring, oncology and skin tumours, reconstructive microsurgery and humanitarian surgery. Over 120 Plastic Surgeons from 23 countries worldwide took part in the congress workings; about 60 reports were delivered within 7 sections, as well as 6 state-of-the-art lectures by renowned experts. The Congress Book is specifically designed to cover the Congress material, including over 90 scientific papers. The Congress also included 10 round tables, the agenda of which encompassed specific topics, concerning analyses of complications, by the leading Plastic Surgeons. In the Special Session, 3 residents presented their case reports and presentations. Issues related to the European and American Plastic Surgery resident education were also incorporated in this important section. The Humanitarian Plastic Surgery Round Table was chaired by Prof. Jean – Philippe Nicolai and attracted many Plastic Surgeons from Armenia to participate in the Humanitarian Mission in the world. A short video film about the Women for Women Program and a short explanation about this program was presented by the President of IPRAS, Prof. Marita Eisenmann-Klein.

Public Day The Yerevan Public Day was successfully launched during the last day of the Congress, inaugurating a dialogue forum with the citizens and demonstrating that Plastic Surgery is not a medical discipline used only for aesthetic reasons, but one that can also alleviate both physical and emotional pain. Aiming to increase awareness on health issues and prevent medical malpractice, some of the most renowned Plastic Surgery experts, Prof. Marita Eisenmann-Klein, IPRAS President, Prof. Gevorg Yaghjyan President of the 3rd AAPRAS Congress, Prof. Armen Hovannisyan, AAPRAS President, Prof. Andreas Yiacoumettis, ESPRAS President, Prof. Nelson Piccolo, IPRAS General Secretary, By Prof. Daniel Marchac, Chairman of the IPRAS Scientific Advisory Board presented topics, such as fat grafting and breast reconstruction and augmentation, the safety of liposuction, the challenge of face transplantation, and skin tumors. Almost 200 Armenian citizens participated in the Public Day, actively engaging in a dialogue process, posing their own interesting questions.

Left to Right: Prof. Daniel Marchac, Chair of the Scientific Advisory Board, Prof. Andreas Yiacoumettis, IPRAS Deputy General Secretary, Prof. Gevorg Yaghjyan, President of the 3rd International Congress on the Unfavourable Results and Complications in Plastic Surgery and Dr. Ara Nazaryan

Besides the “rich” scientific program, a nice social program was available to Congress participants. The Opening Ceremony took place on June 28th, 2011, at the Cafesjian Center for Art. The Reception started with a tour at the Armenian Center for Contemporary Experimental Art and was followed by a Cocktail Reception and Music from a classical quartet. The faculty dinner took place at NOY BRANDY FACTORY on June 29th, 2011. The dinner started with a brandy tasting and a tour in the Museum. The objective of NOY FACTORY tour was to reveal the secrets of true Armenian brandy and make it attainable to those who appreciate the majestic flavour and aroma of the legendary drink of the Biblical land. The Conference Dinner took place at the Bellagio restaurant, on June 30th, 2011. In his letter, Prof. Yiacoumettis states: “IPRAS and ESPRAS are very proud of our Armenian colleagues. Your team worked hard for the success of this event and you must be very pleased with the outcome. I am looking forward to future cooperation in both the European and the Global activities of our precious organizations. Once again, many thanks to you personally and to your colleagues for making our meeting in Yerevan unforgettable”. We think that the congress success was insured by the close cooperation with IPRAS, ESPRAS and “Zita Congress”, the official Congress Organizer of this event. We are looking forward to establishing a close cooperation with these organizations in the future, encouraging other National Associations in the former SU to conduct their International Congresses together with these Institutions.

Dr. Yaghjyan Gevorg MD, PhD

Wine and Brandy Tasting at NOY Factory

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President of 3rd Congress of AAPRAS

EURAPS 2011 Letter by the Outgoing Secretary General Dear colleagues and friends, The 22nd Annual EURAPS Meeting on the island of Mykonos belongs in the past. With nearly 450 participants and 150 accompanying persons, it was the largest EURAPS Meeting ever. The event evaluation questionnaires showed enthusiastic remarks about the scientific and social programs. I have attended EURAPS Meetings, from the first one in Strasbourg in 1990 and only missed one meeting. For many years I served the Association; the past four years as Secretary General and I enjoyed doing so. During these years I was able, with the help of others, to achieve several things.

Dr. Moshe Kon Outgoing EURAPS Secretary General, Dr. Julia Terzis Outgoing EURAPS President

A new modern website was built, 61 new active members and five new corresponding members joined EURAPS, the EURAPS-JPRAS affiliation with two EURAPS members on the Editorial Board became reality, the EURAPS By-laws were adjusted, the transition of ECSAPS into the EURAPS Research Council was initiated, a EURAPS representative on the AAPS Board (reciprocal voting Board member position in each Association) was appointed, the EURAPS’ financial seat in Switzerland was established and CME credit points (12) for the Barcelona, Manchester and Mykonos meetings were obtained. It has been a great pleasure, for the past two years, to work with Dorothee and Georg Noever, at the

From the left: Dr. Manfred FREY, EURAPS New Secretary General 2011-2014, Mrs. Katia Ioannidou, Dr. Othon Papadopoulos, EURAPS Local Host Mykonos 2011

Treasurer’s Office. They are extremely professional and we worked well together as a team. Thanks to their efforts, EURAPS is now, from a financial point of view, a more transparent and official organization. During several years I worked together with Eric Arnaud, Dominique Erni, Moustapha Hamdi and Rafic Kuzbari, Benoît Lengelé Hans-Günther Machens and the different local hosts as the Scientific Program Committee. They are all dedicated, hard working colleagues and we did our utmost to compile balanced programs based on the scores of the reviewers but also taking every submitted abstract into account. We know that we have had to disappoint many, who sent in abstracts which were not accepted, but that is a result of a very stringent selection and because of meetings without simultaneous sessions. I served with four Presidents: Françoise Firmin, David Soutar, Erkki Tukiainen and Julia Terzis. Everyone had his or her way to contribute to EURAPS and to fill in the presidency. It is now up to Manfred Frey, the new Secretary General, to move upwards and onwards with the Association. I wish him success in doing so, together with Andrej Banic, EURAPS President 2011-2012. I want to thank all the members for their support and input and I hope to serve our Association for many more years, in another capacity. Mykonos was a great place to step down and have 600 people, including my family, attend my farewell party! I look forward to seeing you during the 23rd EURAPS annual meeting in Munich 2012. With kind regards, Moshe KON EURAPS Past Secretary General Issue 5

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Finnish Association of Plastic, Reconstructive and Aesthetic Surgery (CPF) Finland is a small Nordic country situated in the eastern corner of Scandinavia.

Department of Plastic Surgery, Tampere University Hospital

Throughout history, Finland was often ruled by either one of its powerful neighbours, until 1917, when the country became an independent republic. Finland was the first country in the world to allow females into the parliament and the second country in the world to give women the right to vote (1906).

Bilateral Progressive Facial Paralysis and Cutis Laxa caused by Gelsolin Amyloidosis- From Symptoms to Treatment

The national Society: The Finnish Association of Plastic, Reconstructive and Aesthetic Surgery (Chirurgi Plastici Fenniae) was founded in 1957 and nowadays holds 128 members, out of which about 70 are actively practicing, fully licensed members. Two thirds of the active members work in public hospitals, some with a little private practice on the side. One third of the Finnish plastic surgeons work full time to cover a small, yet steadily increasing market of cosmetic surgery. With 4 annual meetings this small but, active society keeps up good standards and close collaboration among its members. Knowing each other well is mostly a strength. Plastic Surgery related research gives the foundation to good clinical practice and supporting research among our members is one of the goals of the Society. The crop of papers from our last National meeting in November 2010 was huge and it was a hard job to put them in order. The following papers were chosen to the top three: How to Assess Scar Hypertrophy? A Comparison of Subjective Scales and Spectrocutometry – A New Objective Method. I.Kaartinen, P.Välisuo, V. Bochko, J. Kuokkanen

Alander

T.Pihlamaa, J.Rautio, S.Kiuru-Enari, S.Suominen. Department of Plastic and Reconstructive Surgery and Department of Neurology Helsinki University Hospital Vascular Endothelial Growth Factor and Lymph Node Transplant Therapy after Axillary Lymphnode RemovalEffect on local immunology in Mice. P.Hartiala 1,2,3, M.Visuri 1,3, S.Ylä-Herttuala4, E.Suominen1, K.Alitalo5, S.Jalkanen3, A.Saaristo1. Department of Plastic Surgery and Department of Microbiology and Immunology Turku University Hospital, Satakunta Central Hospital, Medicity Reasearch Laboratories, A.I.Virtanen Institute, University of Eastern Finland and Department of Cancer- and Molecular Biology, Biomedicum, University of Helsinki. The tradition of microsurgery in Finland goes back to the 70s, with pioneers like Sirpa Asko-Seljavaara and Simo Vilkki having set the pace. Our small country of only 5 million people is therefore extremely proud to host the 6th, and largest so far, World Society for Reconstructive Microsurgery, WSRM, in Helsinki, from June 29th to July 2nd , 2011. Welcome to Helsinki! The Finnish Association of Plastic, Reconstructive and Aesthetic Surgery Tarja Niemi, President tarja.niemi@tyks.fi Susanna Kauhanen, Secretary susanna.kauhanen@hus.fi

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Association of Plastic Surgeons of India (APSI) The Teaching Department at Victoria Hospital, Bangalore, India celebrated their silver Jubilee on 8th January, 2011, by holding CME courses on various topics in Plastic Surgery by National & International Speakers, including Dr. Niri Niranjan from the UK. Inauguration of the Department Library by the Donor, Dr K S Shekar, also took place the same day. Later in the day, the alumni meeting with all past HODâ&#x20AC;&#x2122;s, was attended by all past Academic Staff, PGâ&#x20AC;&#x2122;s and paramedical staff from the past 25 years. Several senior staff members were honoured.

The Teaching Department at Medical College and SSG Hospital, Vadodara (Baroda), India, celebrated their silver Jubilee on 24th December, 2010. The highlight of the program was a family reunion of all alumni

A live operative workshop on Post Mastectomy Breast reconstruction took place on 9th January. Four patients, including two cases of primary resection of breast carcinoma and immediate reconstruction and two cases of secondary reconstruction, were demonstrated by national and international faculty. This workshop included two free flaps and two pedicled flaps.

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and honoring of Teachers as well as the support staff. On 25th and 26th February, The Baroda Association of Plastic Surgeons organized a unique program on Unfavourable Results in Plastic Surgery and How to Avoid and Treat. The Association of Plastic Surgeons of India supported this program through the Scientific Activities of the Gujarat Fund. Lectures were oriented towards discussing plans to salvage. Dr. C R Sunderrajan National CME course was held at Ahmedabad on 26th and 27th February, its theme being Cosmetic Surgery. The full-day operative session on 26th February included a demonstration on fat harvesting and fat grafting, as well as split ear repair using conchal cartilage. The following dayâ&#x20AC;&#x2122;s program included a demonstration on Obagi Blue Peel by Dr. Arumugam, and a demonstration of fractional CO2 Laser

Our colleagues from Jabalpur Surgeons Association shared pictures of the Cosmetic Surgery and Hand Surgery workshop that was held there on 18th September, 2010. Dr. Hari Venkatramni and Dr. Shailesh Patel participated in the operative demonstration. The meeting was organized by Dr. Vinod B. Tamrakar, under the banner of Plastic Surgeons of Madhya Pradesh and Chhatisgadh and Vidarbah. A State Association was also formed. MAPSICON The sixth biennial conference of Maharashtra section of APSI was held in Akola on 19th and 20th February 2011. APSI accords financial assistance to this event. The conference was held at the Committee Hall of Panjabrao Deshmukh Krishi Vidyapeeth. Dr Bipin Sharma, Commissioner of Akola Municipal Corporation, ViceChancellor Dr Venkat Mayande and Dr Subhashchandra Korpe, President of Surgical Society of Akola were present at the inauguration. MAPSI president Dr JJ Kashikar, APSI President Dr Raja Sabapathy and President-elect Dr AK Singh attended the Conference. 52

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APSICON 2011 The 46th Annual Conference of the Association of Plastic Surgeons of India will be held in India’s most industrialized city, Coimbatore, from 9th until 11th September, 2011. On 7th September, the Prof. CR Sunderrajan Memorial Live Surgery Workshop will be held at Ganga Hospital. On 8th September, the Dr. Charles Pinto Memorial

CME Course and later the main Conference will be held at Le Méridien Coimbatore Hotel, 762 Avinashi Road, Neelambur Village, Coimbatore. Visit www.apsicon2011.com for details. APSICON 2012 The 47th Annual Conference of the Association of Plastic Surgeons of India will be held at Lucknow in November 2012. Please mark the dates. Main Conference – 6th, 7th and 8th PG course on Cleft 2nd and 3rd Dr.CR Sunderrajan Memorial Workshop 4th Dr. Charles Pinto Memorial CME - 5th

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PRESS RELEASE

PLASTIC RECONSTRUCTIVE SURGERY DAY – 15th July. President and Members of the Association of Plastic Surgeons of India call on Union Minister of Health, Hon. Shri. Ghulam Nabi Azad. The Association of the Plastic Surgeons of India has decided to observe July the 15th of every year as Plastic Reconstructive Surgery Day. Dr. Raja Sabapathy, Director in Ganga Hospital, Coimbatore, who is the President of the National Association, explained that this move was taken to increase the awareness of the spectrum of work done by Plastic and Reconstructive Surgeons and also to enable the members to reach out to the masses.

The President of APSI, Dr S Raja Sabapathy has appealed to all the 1300 members of the Association to do at least one free surgery on 15th July. Surgeries could vary from correcting birth defects, post burn problems, hand injuries, deformities related to trauma, cancer reconstruction to aesthetic surgery. This way, they should be confident that they will make a difference in the lives of thousands of people and in turn their families and the community. In addition, the members will also organize awareness programs as per the need of each place. Shri Ghulam Nabi Azad, Union Health Minister, appreciated the initiative of the Association and wished them well. He also suggested to them to explore the possibility of a project, where the Association will provide the technical manpower and the Government could provide the infrastructure and the resources required to perform reconstructive surgery in places where it is not available. Dr. S. Raja Sabapathy said the members would be excited at the

Dr. S. Raja Sabapathy, President, APSI and Dr. Atul Kumar Shah, Secretary, APSI explaining the proposal of the Association of Plastic Surgeons of India to observe the 15th July of every year as the Plastic and Reconsturctive Surgery Day to Hon Minister of Health, Shri. Ghulam Nabi Azad.

On 20th June, the team comprising of Dr. S. Raja Sabapathy, President of APSI, (Coimbatore), Dr. Atul Kumar Shah, Secretary of APSI, (Baroda) and Dr. Rakesh Khazanchi (Medanta Hospital, New Delhi) met the Hon’ble Minister for Health Shri. Ghulam Nabi Azad at New Delhi and made a presentation of the plans. Dr. S. Raja Sabapathy explained that most of the people remained in the dark about the possibilities of Plastic and Reconstructive Surgery. This is because, unlike other specialties, like cardiac surgery, neurosurgery or orthopedic surgery, this specialty does not relate to any organ system. Plastic Surgeons operate from head to foot; they operate on both sexes and on all age groups.

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Members of Plastic Surgeons of India with Hon’ble Health Minister, Shri Ghulam Nabi Azad (L-R) Dr. Rakesh Khazanchi, Hon’ble Health Minister Shri Gulam Nabi Azad, Dr. S. Raja Sabapathy, President APSI Dr. Atul Kumar Shah, Secretary APSI.

opportunity to reach the unreached and a project report will be prepared by the Association. See also http://www.thehindu.com/news/national/ article2124021.ece

Korean Society of Plastic and Reconstructive Surgeons (KPRS) Founded in 1966, the Korean Society of Plastic and Reconstructive Surgeons celebrates its 44th anniversary as the forefront academic congregation of Korean Plastic Surgery. Plastic Surgery in Korea has achieved enormous growth over the past years. Recently, there have been a growing number of patients visiting Korea from neighboring Asian countries for plastic operations. Given the circumstances, the Society has devoted itself in planning and carrying out various charity works related to Plastic Surgery, in an effort to facilitate the diffusion of this discipline with humanitarian spirit.

to one of participating institutions. Even though there is no immediate compensation for the surgeons, they contribute to the community-serving image of the Society by their self-sacrificing annual participation. In addition, the Society holds the annual â&#x20AC;&#x153;Smiley Face Sketching Contestâ&#x20AC;? for children. The contest was designed to promote positive interaction among the children who have gone through surgery for congenital facial malformations, including cleft palate, or secondary deformations such as burn or accidents, and to provide them with an opportunity to live up to their artistic

Smiley Face Sketching Contest

As a part of domestic social service, the Society is involved in a service which provides plastic surgical care for low income population. It is mainly targeted at underprivileged patients living in governmentsubsidized residential areas, who are suffering from scars and functional disability sustained from burns, facial deformity, congenital malformations of the face and hands/extremities, hemangiomas and vascular malformations. This undertaking begun in 2005, and is benefiting from participations of surgeons from various institutional hospitals and private clinics, who have provided plastic surgical care to 221 patients from 2005 to 2010, all free of charge. The patients either apply directly to the Society for the service, or are referred

potential. With almost 200 children and their family members participating every year, the event serves as a valuable ground for promoting unity among the cohorts. Furthermore, the Society is actively involved in overseas projects as well. As Dr. Millard, then-army surgeon of the United States military during the Korean War in 1950, had visited Korea and graciously offered his services to treat many cleft lip patients, who could not afford surgery, Plastic Surgeons of Korea are now returning the favor to underdeveloped, thirdworld nations. From 2004 to the present, the Society has either directly or indirectly supported 8 private and social organizations for more than 20 overseas service projects. These organizations visit various Issue 5

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nations like Vietnam, China, Uzbekistan, Cambodia, Kyrgyzstan, and Mongolia to aid the rehabilitation of children with congenital malformations with surgical correction. Many faculty members from various

team (Vietnam), Yonsei University team (Uzbekistan & Mongolia), and Sooncheonhyang University team (Cambodia) etc. More recently, the Society has been involved in academic exchanges between Korea and third-world countries, inviting scholars to visit Korea for demonstration of complex facial malformation surgery such as Crouzon or Apert syndrome patients.

Mission to Vientnam, 2009

medical schools have actively participated, for more than 12 years, as members of the Global Care, a nongovermental organization. And there are many teams who have been devoted to one specific country for more than 10 years, such as Seoul National University

Prof. Dae Hyun Lew MD PhD

Chairman, International Affairs Committee The Korean society of Plastic & Reconstructive Surgeons Dept of Plastic & Reconstr. Surgery Yonsei University College of Medicine Seoul, Korea

Romanian Association of Plastic Surgeons (ROAPS) ROAPS, the Romanian Association of Plastic Surgeons, whises to inform all IPRAS colleagues about the highlights of our forthcoming biannual programme concerning our scientific activity.

whole project and provides scientific support for the 20 participating Romanian plastic surgeons. This project will run for the next 2 years and will reach its successful completion at the end of 2014.

Our Association begun preparations for the Annual Meeting of Plastic Surgeons, which will be held from the 5th to the 8th of October 2011 in Sinaia and will have a large international participation.

We are looking forward to welcoming as many colleagues as possible to our very interesting international events and Romania.

Meanwhile we also prepare our biannual ROAPS Congress. It will also take place in Sinaia between the 25th and the 29th of September 2012. It is an international event whicl always attracts esteemed colleagues from all the corners of the world. In the academic field, ROAPS was actively involved in creating a post - Ph.D project. The title of the project is â&#x20AC;&#x153;Sustaining post-Ph.D research in Transplantation Reconstructive Surgery field (POST DOC-TRANSPLANT)â&#x20AC;? and is listed under the code POSDRU/89/1.5/S/64153. ROAPS is managing the 56

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Best regards, Ioan Petre Florescu President of ROAPS,

Society of Plastic, Reconstructive and Aesthetic Surgeons of Uzbekistan (SPRAZ) Uzbekistan – one of the ancient countries of the world, where medicine has arisen at an early stage of human development. Archeological excavation findings and ancient hand-written sources tell of it. Archaeologists and historians calculate that the first human on earth appeared about three million years ago. These people were at a rather low level of intellectual development; medical aid level was also very low. Relying on the instinct of self-preservation, the person of that time

The 3rd Central Asian Plastic Surgery Conference, Tashkent May 3-5, 2012. From the left: Prof. Marita Eisenmann-Klein, IPRAS President , Dr. Murod Jafarov, President of the Society of Plastic, Reconstructive and Aesthetic surgeons of Uzbekistan, Dr. Miodrag Colic, ISAPS Secretary General, IPRAS Europe representative, Member of the Cooperation with other Societies IPRAS committee

could treat light traumas and simple diseases. For example, he could remove a splinter from the body; stop a bleeding vessel by putting grasses or licking the hurt place; or have a bite at the umbilical cord of the newborn.

were constructed, in which skilled doctors worked. They rendered surgical help to sick warriors and local population, and were engaged in treatment of bullet wounds, furunculosis, purulent diseases, bloodletting, repositioning of fractures and dislocations. In Hussein Bajkara’s times, in the 15th century, a surgeon by the name of Hussein-sheikh used catgut suture. After the conquest of Turkestan by Russia, medical and, in particular, surgical service of the population changed. In April 1903, at the initiative of Peter F. Borovsky, the Red Cross Hospital opened a surgical branch with 10 patient beds. In 1920, the Turkestan State University in Tashkent founded its Medical faculty. This faculty became independent in 1931 as the “Central Asian Medical Institute”, the first University in Central Asia to offer higher medical education. The opening of high schools and scientific-research institutes, the arrival of scientists from abroad and the work of local doctors were factors that contributed to the development of medicine and surgery, as well as the public health system in the republic. Surgeon Pavel P. Sitkovsky and his students dealt with the problems of appendicitis, hernia, biliary dyskinesia and plastic operations. He is also the founder maxillofacial surgery in Uzbekistan. In the last 60 years of the 20th century, Academician Vohid V. Vahidov and his pupils developed and widely applied plastic operations of the cicatricial stricture of the esophagus. Academician Uktam A. Aripov and his students contributed greatly in the areas of abdominal, vascular and transplant surgery. He conducted experimental studies on transplantations, and in September 1972 performed the first renal transplantation on a patient with chronic renal failure. During the 1970s, in the Surgery Department of the

The great scientist Abu Ali ibn Sina (Avicenna), one of founders of surgery in the East, who was born in Bukhara, in the volumes III and IV of the book “Canon of Medicine”, which are devoted to surgery, stated theoretical and practical recommendations. Ibn Sina assorts methods of operations developed by Hippocrates and Galen in detail, and describes improvements and changes to these operations. Concerning treatment of stomach wounds, Ibn Sina describes the technique for wound closure after repositioning of the dropped-out and restrained guts. The recommended resection of the dropped-out omentum in the subsequent suture of the wound is still of value until today. In the 14th – 15th centuries, during Amir Timur’s Empire and his generation, great attention was given to medicine. At that time, good moral and material conditions were created for scientists and doctors. During that period many hospitals

The 3rd Central Asian Plastic Surgery conference, Tashkent May 3-5, 2012. From the left: Mr. Zacharias Kaplanidis, IPRAS Executive Director, Prof. Marita Eisenmann-Klein, IPRAS President, Dr. Daniel Marchac, Chairman of the IPRAS Scientific Board

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Samarkand Medical Institute Hospital, serious and deep burns were treated with autologous and homologous skin grafts. The first Department of Plastic and Reconstructive microsurgery was established in 1984, based in the Surgery Science Centre and performed 104 autologous skin graft procedures from 1984 until 1995. Based in the Pediatric Clinic of the Tashkent Medical Institute, the Children’s Plastic Surgery Department is very well developed and maintains excellent co-operation with other countries like Korea, Singapore, Turkey, Germany and the USA, as well as with charity organizations such as “Smile Train” and “Operation Smile”. Aesthetic medicine is a young, developing specialty of medicine in our country. It is of great social value, as it can affect every aspect of life, from the family institution to business development. Experts recognize that Plastic Surgery in Tashkent was somewhat late in starting to develop, but, nevertheless, interest in it increases every day. It is only logical to assume that interest increases thanks to the successes and achievements of Plastic Surgery. On April 5th, 2007 the first Constituent Assembly was held, with the participation of 30 doctors working in the field of Plastic Surgery. Plastic surgeons from private clinics and official government hospitals, ENTs, traumatologists, orthopedists and ophthalmologists participated. The meeting ended with the founding of the Society of Plastic, Reconstructive and Aesthetic Surgery of Uzbekistan (SPRASU). The number of private clinics in the republic has increased. Such well proved clinics include the Center for Aesthetic Surgery “CHIROY-TIB”, “KASMED” Medical center, “ESTIMED” Private clinic, “MEDAS” Clinic of Aesthetic Surgery, “HEIBERG CLINIC” ТМ and “KALISTO”. In these clinics, the full spectrum of aesthetic interventions on the face, trunk and extremities is carried out, such as various kinds of face-lifting; upper and lower blepharoplasty; otoplasty and rhinoplasty; mammoplasty; fat grafting and reconstructive operations on genitals. Another step in the development of Plastic Surgery in Uzbekistan was the organization of the First Conference on Plastic Surgery in Central Asia in 2008, where we welcomed 21 participants from 6 countries. That same year, Uzbekistan became a member of the International Confederation of Plastic, Reconstructive and Aesthetic Surgeons. In the second Conference, which was held in 2010, 45 visitors from 16 countries of the world participated. At that conference, we were joined by the General Secretary and the Executive Director IPRAS, a fact indicating increase of interest in Plastic Surgery in Uzbekistan. The visit of Executive Director Zacharias Kaplanidis in January 2011 marked the continuation of our cooperation with IPRAS. During his visit, Mr. Kaplanidis met with First58

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Deputy Minister of Health Republic of Uzbekistan, Prof. Anvar Alimov and the President of SPRASU, Prof. Murod Jafarov. On those meetings, the prospects of the development of Plastic Surgery in Uzbekistan and the questions connected with the organization of the 3rd Conference of Plastic Surgery of Central Asia were discussed. The First-Deputy minister was glad to join IPRAS in carrying out the conference, and promised support from the Ministry of Health of the Republic of Uzbekistan. During his visit, Executive Director Zacharias Kaplanidis held meetings with members of SPRASU and presented them with the report «Prospect of development IPRAS», and also met Heads of private clinics.

From the left: Dr. Murod Jafarov, President of the Society of Plastic, Reconstructive and Aesthetic surgeons of Uzbekistan, Dr. Miodrag Colic, ISAPS Secretary General, IPRAS Europe representative, Member of the Cooperation with other societies IPRAS committee, Dr. Thomas Biggs, Editor in Chief of the IPRAS Journal

In summary, we consider that, with our joint efforts and th e international support of IPRAS, Plastic Surgery will further develop in Central Asia and Uzbekistan in particular. In Uzbekistan we have ancient cities such as Samarqand, Bukhara and Khiva, with a history of more than 2000 years. And we will be happy to invite all our friends and Plastic Surgeons from all over the world to join our 3rd Central Asian Plastic Surgery Conference, which will take place in Tashkent on May 3rd – 5th, 2012.

Murod M. Jafarov, MD, PhD.

President of the Society of Plastic, Reconstructive and Aesthetic Surgeons of Uzbekistan.

ISPRES

International Society of Plastic Regenerative Surgery (ISPRES) A new Society is born and will function within IPRAS. It is named International Society of Plastic Regenerative Surgery (ISPRES). All those interested in this particular field of science, plastic surgeons and collaborating scientists, will find a forum and a group of colleagues with whom they will share knowledge and interests in this type of Surgery. Plastic Surgeons have been practicing fat injections for over a century but it was only recently that we realized that this procedure involved more than augmenting soft tissue in the various parts of the body. “Stem Cells”, “Pre-adipocyte cells” and other related terms are entering not only our vocabulary but also are influencing our everyday practice. A golden future is ahead of us and this topic needs to be studied in depth. In our perpetual efforts for improving our results, new applications will be evolved and it is expected that our methods and techniques will be significantly enriched. The inauguration meeting for founding ISPRES tïïk place in Vancouver Canada during the 16th IPRAS World Congress.

Join us for ISPRES in Rome on 2012 March 1-3 (Preliminary Date)! Experience a walk through the Vatican Gardens with us! Be with us in the Necropolis under the Cathedral where St. Peter’s grave was detected! Come along for an audience with Pope Benedikt XVI or join us for the Angelus Prayer with the Pope!

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ISPRES

Dear friends, It gives me great pleasure to invite you as members of our newly created International Society for Plastic Regenerative Surgary (ISPRES). As some of you are already aware, this society was founded at the last IPRAS meeting in Vancouver where I received the honor of becoming its first president. A basic reason for having a separate body is to emphasize the need to focus and specialize in the regenerative modalities of this niche area. The last half century was characterized by a leap in almost every field of medicine and in plastic surgery, where necessity, as always, has been the mother of invention. The 70s and 80s has been an era of local and regional flaps. With the 90s microsurgery came to help us find near precise solutions to impossible situations. However, only in the last decade have we started looking beyond duplication and substitution to actually remaking and recreating what age or disease has taken away. The genius in a plastic surgeon has finally found his comfort zone in regenerative surgery. With stem cell research and its possible applications gaining momentum in every facet of medicine, lipoaspirate has become the most dependable elixir to restore or recreate. We have always learnt to use our skill in aesthetic surgery as a means to fulfill the aspirations of the patient but we must also recognize the importance of reconstructive surgery which is indeed the â&#x20AC;&#x153;soulâ&#x20AC;? of our specialty. Today this newly found society is an endeavor to amalgamate both for achieving synchronicity in function and form. The near future will see tremendous progress in the versatility of lipoaspirate to solve many problems, from the simple to the most complex, and we will be fortunate to be a part of this exciting journey. I therefore appeal to all of you to join the society and empower it with all of your experience, knowledge and skill. Legends in this field such as Tom Biggs, Sydney Coleman, Roger Khouri.... have already laid the path for all who wish to participate in, contribute to and enrich these pages of history. For all these reasons I also encourage all of you to participate to the first ISPRES Meeting that will be held in Rome on February 2012. Gino Rigotti ISPRES President

ISPRES Management Office Contact Person: Maria Petsa Email Address: maria.petsa@iprasmanagement.com Telephone: +30 211 100 1787 In order to apply for membership please visit IPRAS website (www.ipras.org) at Latest news section in order to download the application form and send it to the above mentioned address with your CV. 60

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ISPRES

ISPRES Board of Directors President Vice President Secretary General Assistant General Secretary Treasurer Parliamentarian Member Member Executive Manager

Gino Rigotti (Italy) Roger Khouri (USA) Sydney Coleman (USA) Alessandra Marchi (Italy) Greg Evans (USA) Andreas Yiacoumettis (Greece) Brian Kinney (USA) Lee Pu (USA) Zacharias Kaplanidis (Greece - IPRAS Management)

Founding Members of ISPRES 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Marita Eisenmann Klein Sydney Coleman Gino Rigotti Norbert Pallua Andreas Yiacoumettis Marta Markowicz Roger Khouri Kotaro Yoshimura Lee Pu Guy Magalon Riccardo Mazzola Tim Marten Alessandra Marchi Neeta Patel Andrea Grisotti Tom Biggs

Germany USA Italy Germany Greece Germany USA Japan USA France Italy USA Italy India Italy USA

17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

Greg Evans Emanuel Delay Dan Del Vecchio Maurizio Nava JosĂŠ Guerrerosantos Tom Baker Abel Chajchir Jim Carraway Nelson Piccolo Rod Rohrich Brian Kinney Ewaldo Bolivar de Souza Pinto Peter Rubin Michael Schneider Neeta Patel Theodoros Voukidis

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USA France USA Italy Mexico USA Argentina USA Brazil USA USA Brazil USA Norway Mumbai

Greece

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CERTIFICATE OF MEMBERSHIP

To All Plastic Surgeons Members of IPRAS Dear Colleagues, We are proud to present the “Certificate of Membership” to all members of IPRAS, which is the only Global Plastic Surgery Organization incorporating all National Societies of the world. Members of National Societies, who are at the same time members of IPRAS, are Plastic Reconstructive and Aesthetic Surgeons of good standing and with high ethical principles. For many years since the founding of IPRAS, many of our members have requested repeatedly a proof of membership and now is the time to fulfill their wish in the best and most official way. This “certificate” can be proudly displayed wherever you wish as a proof of belonging to our largest Organization of the world. It may be hung on the wall of your office or used as an extra document in your Curriculum Vitae. In order to send your application for the certificate you should get in touch with the Executive Management Office at: Maria Petsa - IPRAS Executive Office (maria. petsa@iprasmanagement.com) and pay the 100 € fee which covers

the cost of design, shipping & management. Once your National Society has veriﬁed your active membership, it will be sent to you by post (express). A complementary “lapel pin” bearing the IPRAS logo,

will also be sent to you at no extra charge. To send your application please visit http://www.ipras.org and click on the IPRAS certiﬁcate banner.

It is important to all of us to display our Specialty to the public at large, promoting at the same time the image of Plastic Surgery worldwide. With our most sincere regards, Nelson Piccolo General Secretary

Marita Eisenmann-Klein President 62

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Daniel Marchac Chair of the Scientiﬁc Advisory Board

IPRAS WEBSITE

www.ipras.org

JOIN YOUR COLLEAGUES The first website that gives you the opportunity to upload your scientific profile for free!!

Now it is very simple to upload your scientific profile and gain the benefits of being under the IPRAS umbrella. Try it…!! Sign up on www.ipras.org and follow the following steps: 1. Create an account by clicking “Member’s login” on the top right-hand corner and then select the “Create new account” tab. 2. Fill out your “Username”, “Email” and “Password”, as required. 3. Select the option “Doctor” and your country, under the section “If you are a doctor, complete the following”. 4. Once all account details have been added, click on “Create new account” button. Then you click on “EDIT” and then on “DOCTOR PROFILE”. This is the section where all the information of your scientific profile can be uploaded. You may complete the fields with the information that you prefer such us: Personal Picture, Hospital Position, Affiliation, Special Field of Interest, Contact Details, Memberships, Topics of Special Interest, Publications etc. At the “EDIT” section you may proceed to the appropriate corrections at your account such us to change your password or to update personal information. When you complete the aforementioned steps there will be one last step remaining for your details to be uploaded on the IPRAS website. The application must be approved by the National Association you are a member. The application will

be sent at the Association of the country that you have declared, ensuring that only IPRAS members of good standing and high ethical principles are able to upload their personal details. As soon as your Association verifies you as a member, your profile will automatically be uploaded at the website’s, “Find a doctor” option in the “Members”section. It is also up to you to decide whether your profile will be classified as “private” or visible to all visitors of the IPRAS webpage. Our aim, besides facilitating communication among colleagues, expands to allowing patients to verify the good standing and high ethical principles of the doctors’ profiles hosted, allowing them to choose qualified IPRAS members for needed procedures. In conclusion, I want to emphasize the usefulness of the IPRAS website FORUM. A section you will gain access to, as soon as your profile has been accepted and uploaded. Only verified plastic surgeons can use it and read its contents. Therefore, you will have the opportunity to exchange ideas, news regarding plastic surgery techniques, news from your National Association, alerts and all other information you would like to share with your peers. Don’t miss the opportunity to make the IPRAS website twice as useful to you! If you face any difficulties please do not hesitate to contact me at: maria.petsa@iprasmanagement. com . Always at your disposal! Maria Petsa IPRAS Assistant Executive Director

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UP - COMING CONFERENCES

124 ABSTRACTS SUBMITTED! MORE THAN 350 PARTICIPANTS EXPECTED! As the 2nd IMAFR Meeting (01-03 September 2011) is approaching we are proud of announcing a memorable Scientific Program covering a wide range of important topics of our specialty such as Aesthetics, Facial Rejuvenation, Rhinoplasty, Implants, Endoscopy, Microsurgery, Facial Trauma, Head and Neck Cancer and Craniofacial Deformities The theme is "Binding aesthetics with reconstruction" and the intention of the 2nd IMAFR Meeting is threefold: Educational, scientific and recreational. An outstanding Faculty comprised of Top Specialists from all over the world will give lectures on the above topics Honorary President: Congress Chairmen:

Marita Eisenmann-Klein. Germany Apostolos Mandrekas, Greece Alexander D. Rapidis, Greece

Daniel C. Baker USA Dario Bertossi Italy Giovanni Botti Italy Sean Boutros USA Jay Calvert USA Mimis Cohen USA Sydney Coleman USA Peter Cordeiro USA Gregory Evans USA Ralph William Gilbert Canada Wolfgang Gubisch Germany Andrew J. Kaufman USA Brian M. Kinney USA William J. Little USA Lydia Masako Ferreira Brazil Peter Neligan USA

Milomir Ninkovic Germany Pier Francesco Nocini Italy Norbert Pallua Germany Nelson Piccolo Brazil Gerald H. Pitman USA Jan G. Poëll Switzerland Julian Pribaz USA Oscar Ramirez USA Camilo J. Roldán Germany Pierre Saadeh USA Osvaldo Saldanha Brazil Julia Terzis USA Spero Theodorou USA Patrick Tonnard Belgium Carlos Oscar Uebel Brazil Kurt G. Vinzenz Austria

Don’t miss the chance to attend high scientific level lectures and participate to master classes FREE OF CHARGE Register NOW on www.imafr2011.org Combine Science with memorable vacations on the Hippocrates Island

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Invited�International� Faculty� Marita�Eisenmann�Klein,�� Germany� Andreas�Yiacoumettis,� Greece� Roger�Khouri,�USA� Bishara�Atiyeh,�Lebanon� Dan�Del�Vecchio,�USA� Norbert�Pallua,�Germany� Marco�Klinger,�Italy� Klaus�Überreiter,�Germany� Dana�Mihaela�Jianu,�� Romania� Ali�Mojallal,�France� Michael�Schneider,�Norway� Gürsu�Güler,�Turkey� Theodoros�Voukidis,�Greece�

Dear�Colleagues,� �

The�Cyprus�Society�for�Plastic�Reconstructive�and�Aesthetic�Surgery�invites�you�to�an� exciting�and�much�promising�meeting�taking�place�on�the�14�15th�October�2011�in�� Limassol,�Cyprus.� �

The�programme�will�cover�topics�from�all�aspects�of�Plastic�and�Reconstructive�surgery� in�which�you�will�be�able�to�exchange�experiences�and�ideas�with�numerous�esteemed� experts.�Special�attention�will�be�paid�to�Breast�Reconstruction�with�the�new�method�of� Fat�Grafting.�The�program�will�focus�on�the�recent�advances�and�concepts�of�our�� specialty�and�particularly�on�the�fat�and�stem�cell�application�in�the�field�of�� regenerative�plastic�surgery.�The�one�day�Course�on�Fat�Grafting�will�give�special�� emphasis�on�breast�reconstruction.��

The�topics�that�will�be�covered�during�the�Symposium�will�be�� Breast�Reconstruction,�Congenital�Anomalies,�Upper�Limb/Hand�Surgery,�Facial�� Reconstruction,�Lower�Limb�and�Cutaneous�Malignancies.� �

The� Organizing� Committee� has� selected� a� great� number� of� internationally� renowned� speakers� who� will� reflect� our� aims� of� improving� education,� skills� and� ultimate� patient� care.� The�Symposium’s�Program�welcomes�the�submission�of�abstracts,�for�those�interested� in�presenting�their�work�during�this�important�event�� Submission�of�abstracts�is�not�obligatory�in�order�to�attend�CyprusFatGraft2011 �

Scientific�Program� Topics� ��Breast�Reconstruction� ��Congenital�Anomalies� ��Upper�Limb/�Hand�Surgery� ��Facial�Reconstruction� ��Lower�Limb� ��Cutaneous�Malignancies� ��Skin�Cancer�

�

Authors�of�clinical�and�research�papers,�who�wish�to�have�their�abstracts�considered�for� inclusion�in�the�scientific�program,�can�submit�their�abstract�online�via�the�Symposium’s� website�www.cyprusfatgraft2011.com�by�August�19th�2011� �

Take�a�moment�off�the�hustle�and�bustle�of�your�daily�routine!�Picture�yourself�lying�on� the�sandy�beaches�of�one�of�the�most�beautiful�islands�in�the�Mediterranean�or�simply� imagine�yourself�scholarly�examining�the�ruins�of�a�long�forgotten�civilization�that�once� flourished�on�the�island.� �

Let�us�welcome�you�to�the�island�of�Cyprus!�� CME�POINTS�ARE�� The�birthplace�of�Goddess�Aphrodite!� EXPECTED�TO�BE� Marita�Eisenmann�Klein�� Andreas�Yiacoumettis�� Christos�Merezas�� GRANTED�� IPRAS�President�� Deputy�General�Secretary�IPRAS�BOD��Symposium�Chairman��

��ESPRAS�President��President�of�the�Cyprus�Society��

Symposium�Secretariat� ��UEMS�Section�PRAS�President��for�Plastic,�Reconstructive�� Mr.�George�Koliopoulos� Zita�Congress� ��and�Aesthetic�Surgery�� Co�organized�by�:� Organized�by:� Tel.�+30�2111001781� Fax.�+30�2106642116� Email:�george.koliopoulos@zita� congress.gr� www.zita�congress.gr� 66

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Chinese European Congress of Plastic Reconstructive and Aesthetic Surgery 27-30 October 2011 Dear Colleagues, Despite belonging in an ever expanding front of the medical world that always advances to new achievements and exciting challenges, we do not get the chance to witness many “first time” events as often as the sum of our personal scientific contributions actually deserves. We are proud to announce that, “for the first time” European Plastic Surgeons join their Chinese Colleagues in organizing a major Congress, the 1st Chinese European Congress of Plastic, Reconstructive and Aesthetic Surgery taking place in Beijing, China, from October 27th to 30th, 2011. We invite you to be present in the first of many Congresses to link the world of plastic surgery with a view of the combined Chino-European Perspective. A combination that already captured the imagination and gained the support of the most esteemed international plastic surgery and anti-ageing organizations globally. Besides IPRAS (the Global Organization of our Specialty) and ESPRAS (the European Section), this event is co-organized by the European Society of Preventive, Regenerative and Anti-aging Medicine, the International Society of Aesthetic Plastic Surgery (ISAPS), the American Society of Plastic Surgeons (ASPS), the Brazilian Society of Plastic Surgery (SBCP) and the European Society for LaserAesthetic Surgery (ESLAS).

'This has never happened before’ Contact details: Chrysa Kontololi

Tel: +30 211 100 17 83

Fax: +30 210 664 21 16

Email: chrysa.kontololi@zita-congress.gr Issue 5

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� �� The program includes all aspects of tissue engineering with state of the art research presentations,all aspects of reconstruction of congenital anomalies,trauma sequelae and reconstruction after tumor surgery. Liability and malpractice issues, practical suggestions on setting up a successful Plastic Surgery practice and on optimizing internet representation,will also be presented. The Anti-Aging program will cover an update on the latest research of skin aging and prevention programs. Preventive, Regenerative and Anti-aging Medicine is encapsulating a great part of the

Preliminary Program Topics Bioengineering Stem Cell Research Composite Tissue Transplantation Innovations - Materials & Devices Wound Healing & Wound Management Congenital Anomalies Hand Surgery Burns Pediatric Plastic Surgery Innovations in Microsurgery Management of Malignant tumors and post Oncologic Reconstruction Trauma Management & Reconstruction Breast Aesthetic & Reconstructive Surgery Liability Issues and Malpractice Fat Graft Workshop Aesthetic Surgery Body Contouring Set up of a Successful Plastic Surgery Practice Optimizing Internet Representation 2 7 - 3 0 O c to b e r 2 0 1 1

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advances made in our battle against health burdens brought by time. It is directly aligned to the philosophy of plastic and reconstructive surgery while many plastic surgeons are members of ESAAM. Indications for laser treatments will be presented in cooperation with ESLAS, the European Society for Laser Aesthetic Surgery. A Society populated mainly by plastic surgeons with a distinct specialization in techniques which reside at the forefront of technological progress.

Preventive, Regenerative and Anti-Aging Medicine Non-Invasive facial Rejuvenation Biotechnology and Human Aging Biology and Genetics of Age Related Skin Disorders Glycation and Aging of the Cardiovascular System Human Myoblasts in Regeneration of Post - Infarction heart Common Ageing Associated Bone & Joint Diseases and their Treatment Brains & Skin Aging: A Common Molecular approach? Ageing of Immune System Macula Degeneration - a Progressive, Ageing Associated Ocular Disease New Frontiers in the Management of Chronic Disease Prevention and Treatment of Prostate Cancer Prevention and Treatment of Kidney Stones Testosterone and PDE5 Inhibitors in the Aging Male The Dialectic Role of Hormones in the Prevention and Female Health New Cosmetic Approaches for the Ageing Skin Elastic Fibres, Skin Scarring and Phytocosmetology Can Aging be delayed? Lessons from Centenarians IPRAS / ESAAM cooperation: A Futuristic picture of Preventive, Regenerative and Anti-Aging Medicine Holistic Medicine.

Plastic Reconstructive and Aesthetic Surgery

INVITED FACULTY We are happy to announce an Invited outstanding faculty from all over the world, comprised of top specialists and researchers and an impressive International and Scientific Committee under the chairmanship of Professor Daniel Marchac (France) and Professor Lan Mu (China) will cover the whole spectrum of the Plastic,Reconstructive andAesthetic Surgery.

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Chinese European Congress of

The presentation of the Beijing Congress in the 16th IPRASWorld Congress during May 22 - 27, 2011 in Vancouver was an absolute success with almost all of the 1800 participants getting a full package of information through the booth set up in the exhibition area. There, surgeons had the chance to receive useful information about the scientific content of the congress. They went through the already confirmed part of the faculty that contains some of the most respected names in plastic surgery and keeps expanding daily with more and more esteemed colleagues from all over the world. They also got presented with the especially low prices for their stay in Beijing that the Organizational Support Company,Zita Congress,secured. Numbers, names and pictures do speak for themselves, so take the time to go through the following pages and make time in your schedule for the 1st Chinese European Congress of Plastic, Reconstructive andAesthetic Surgery,an event that will gather surgeons,medics and the industry from every part of the globe. The fantastic venue capturing the heart precinct of Beijing Olympic Green, China National Convention Centre is right next to the Bird Nest (China National Stadium for the Olympics opening and closing ceremony), the Water Cube (National Aquatics Center) and National Indoor Stadium.The Centre itself is 398m long,148m wide,42m high and its has eight floors and two more in the basement with a shopping mall inside. CNCC is proud of its stunning architectural design (by world-famous UK-based RMJM). Its front appearance looks like traditional Chinese quoins, illustrating Chinese rich history and culture,incorporating tradition and modernity,and bridging to the future. Sitting in the center of the Olympic commercial circle between Beijing's fourth and fifth ring roads, CNCC boasts an enviable location. It's only 30 minutes drive to the airport and the subway station is connected with CNCC's basement which enables people to quickly go to the city center, the airport, the Beijing Railway station, the central business district, China's silicon valley Zhongguancun, and many tourist attractions such as Tian'anmen Square, Forbidden City or Summer Palace.It takes only one hour from CNCC to the renowned GreatWall and Ming Tombs.

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Plastic Reconstructive and Aesthetic Surgery REGISTER AND BOOK HOTEL ACCOMMODATION VIA www.china-europe2011.com

Registration Fees Specialty

Late (before September 15th, 2011)

Participants Accompanying Persons

€ 450,00 € 150,00

On Site (September 16th till the end of the congress)

€ 500,00 € 150,00

Registration fees for all PARTICIPANTS include the following: Entry to all scientific conference sessions Access to Exhibition & Poster Area Conference Bag (including all conference material and final program) Opening Ceremony Participation Opening Ceremony Cocktail Participation Coffee Breaks Business Lunches Registration fees for ACCOMPANYING PERSONS include the following: Access to Exhibition & Poster Area Opening Ceremony Participation Opening Ceremony Cocktail Participation Half Day City Tour (Forbidden City) * The Conference Dinner is not included in the registration fees there is an additional charge ** Registration fees do not include insurance of participants against cancellation, accidents, theft or property loss. Participants should arrange for their own insurance.

CNCC Grand Hotel China CNCC Grand Hotel, located in the center of the Beijing Olympic Green, is a brand new international standard hotel with 420 comfortable rooms. The hotel is adjacent to China National Convention Center, China's biggest and newest international conference venue and with the help of sky bridge between the Hotel and the Center,it takes only 3 minutes to walk to the Center. The Hotel is also within walking distance to the Bird Nest (China National Stadium),theWater Cube (NationalAquatics Center) and the State Indoor Stadium all of which are key Olympic venues. The state-of-the-art Hotel has 16 floors.Each room is carefully designed and equipped with internet access, a wide variety ofTV programmes, quality furniture, bath and sleep amenities as well as wide-view windows facing the beautiful Olympic Green. The Hotel not only offers local Beijing food, but also prepares excellent Southeast Asian and French cuisines. It is proud of its experienced staff ready to serve you and offers to its guests all necessary to help make your stay unforgettable.

Single Room : 130€ per room, per night

Double Room: 70€ per person, per night

3 overnights minimum stay 27-30/10/11 or 26-29/10/11 Breakfast Included Issue 5

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800�participants�expected!!! More�than�12�specialties�involved!!!

3rd�European�Congress�on� Preventive,�Regenerative� and�Anti�Aging�Medicine and�Anti�Aging�Medicine 29�31/5/2012 www.ecopram2012.com Co��Organized�by Co

Supported�by International�Confederation� for�Plastic,�Reconstructive�and� Aesthetic�Surgery International�Society� of�Plastic,� Regenerative�Surgery�

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Organizational�Support

ECOPRAM�2012�TOPICS

Preventive,�longevity�and�regenerative�medicine � Practical�antiaging�&�well�aging�sessions

AESTHETIC�PROCEDURES�IN�AGING Rejuvenation�of�neck�and�neckline�

�Procedure�of��neck�and�neckline�aging �Cosmeceuticals�and�bioceutici:�� Dermocosmetic�and�dermoplastic�� approach�of�the�aging�of�neck�and�neckline� �Chemicall�Peelings�:�Indications�and�Protocols� �Radiofrequency�and�aging�of�the�neck� and�neck�line �Laser�Photo�– rejuvenation� �Technics�of�micro�� liposuction� �Neuro�– conditioning�muscle�tissue�

Rejuvenation�of�arms�and�hands�

�Cosmetics�and�natural�products:� dermocosmetic and�dermoplastic�� dermocosmetic� approach�of�the�aging�of�arms�and�hands� �Infiltration�and�biostimulation:�technics� of�bio�revitalization,�use�of�growth�factors,� stem�cells,�inductive�factors�of�neo� collagenasis�process� �Radiofrequencies�and�aging�of�neck�and�neckline� �Laser�photo�� rejuvenation�

Biostimulation�techniques�and�filling

�Fillers�in�the�upper�face:�update �Fillers�in�the�lower�face:�update �Filler�for�lips�in�male:�update �Filler�for�lips�in�female:�update �Fillers�vs Fat�&�Fillers�vs Botox �Interactivity�of�natural�products�:�fillers,� dermocosmetics,�electroporation,� radiofrequencies,�growth� factors�for�the�treatment�of�the�wrinkles�of�the� face�. �New�Biomedical�technologies�for�the�indreasing� volume�of�the�lips,�of�the�face�and�of�the�filling� of�the�wrinkles� �Methodology�and�technology�quantum�of�the� bio�revitalization�and�new�collagenesis�of�the�� tissue� � Laser�photo�� rejuvenation� �When�to�choose�a�laser� �Which�laser �Combined�treatment� �How�to�use�a�laser�at�disposal�� Laser�vs�radiofrequencies�&�laser�vs�technics�non� ablative�

PREVENTIVE�– LONGEVITY�– REGENERATIVE�MEDICINE Can�aging�be�delayed?�Biomarkers�of� Aging�Processes

�Immunology�of�aging:�update �Inflammaging and�aging:�update �Glycation and�aging:�update �Oxidation�and�aging:�update �Redox &�Proteonics:��molecular�medicine �Detoxification�and�aging:�update �The�biological�clock�management:�circadian� biological�human�rhythm

Can�aging�be�delayed?�Regenerative�and� Restorative�Therapies

�Hormone�replacement�therapy�in�male �Hormone�replacement�therapy�in�female �Management�of�aging�male �Management�of�aging�female �Stem�cells�therapies �Stem�cells�researches �Chronic�stress�and�chronic�fatigue:�new�well� aging�strategies �Hormesis and�cellular�stress�response�activators �The�new�nano�technologies

Can�aging�be�delayed?�The�new� preventive�medicine�and�the�new�genetic� approach

�Lab�tests�and�optimal�values�in�function�of�the� age�and�of�the�aging�processes �Nutrigenomic &�epigenetic �Gene�tests�for�a�longevity�picture�of�ourselves �Gene�test�&�preventive�medicine �Gene�test,�skin�aging�and�personalized� aesthetical�treatments �Gene�test�&�brain�aging �Gene�test�&�hormone�aging�(menopause�&�� andropause:�a�personalized�approach) �Gene�test�&�cardiovascular�diseases �Gene�test�&�oncology �Gene�test�&�pharmacogenomic approach

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ECOPRAM�2012�TOPICS

Preventive,�longevity�and�regenerative�medicine � Practical�antiaging�&�well�aging�sessions

PREVENTIVE�– LONGEVITY�– REGENERATIVE�MEDICINE Can�aging�be�delayed?�Nutrition,� nutraceuticals,�diets Nutraceuticals,�supplements�and�aging

�Gene�tests�&�personalized�diet �Diet�and�aging�process:�what�kind�of�diet�for�a� successful�aging? �Caloric�restriction�&�sirtuins’�genes�control �Chrono�biology�and�diet�in�aging �Intestinal�permeability�and�overweight �Acidosis:�physiopathology�and�clinical� applications �Leptin,�adiponectin,�ghrelin,�fat�hormones�for�a� successful�aging�and�weight�management Alkaline�water:�new�approach�against� inflammation�and�against�oxidative�stress� �Orthomolecular�approach�in�preventing�and� treating�aging�diseases �B urn�out�syndrome�&�nutritional�supplements�� Burn (nootropic substances�,�NADH,�etc) �Diabetes�in�the�elderly �Metabolic�syndrome:�from�aesthetic�to�diseases

Can�aging�be�delayed?�Physical�activity

�Aerobic�or�anaerobic�strategies? �Gene�test�and�sports �Strength,�flexibility,�stiffness�in�aging�male�and� female �Physical�activity�and�hormone�improvement �Sarcopeny �Overtraining�and�oxidative�stress �Functional�approaches�to�exercise�and�healthy� aging

Can�aging�be�delayed?�Sexual�disorders� and�treatments

�Testosterone�replacement�therapy�in�female �Testosterone�replacement�therapy�in�male �Pregnenolone &�dhea:�update �Nitrox:�update�and�combinated strategies �Stress�treatments�for�a�real�wellbeing

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Can�aging�be�delayed?�Concepts�of� diagnostics�and�treatment�in�preventive� medicine

�Diagnosis�of�metal�induced�inflammation�and� hypersensibility �Diagnosis��of�nitrosative stress �Diagnosis�of�chronic�and�degenerative�diseases:� new�approaches �Biomarkers�of�histamine�intolerance �Concepts�of�treatment�in�nitrosative stress �Concepts�of�treatment�in�chronic�pain �Concepts�of�treatment�in�diabetes�and� metabolic�syndrome �Concepts�of�treatment�in�chronic�and� degenerative diseases degenerative� �Stem�cells�in�preventive�medicine

SUPPORT LETTER FROM BOARD OF TRUSTEES MEMBER

Dear colleagues and friends of IPRAS, I have always been certain that the only way forward is to have our eyes looking to the future, confident that plastic surgery will carry on thriving, absorbing new technologies and techniques. I have accompanied our society since its first steps, and I am glad to see visions transformed to reality! It has been my hope that IPRAS and its national societies will continue to be the forums where innovation will be presented, where the inquisitive mind will find others equally curious, so that plastic surgery may evolve within the framework of two principal objectives: to generously pass on knowledge to the next generation, and to assure safety to our patients. I am particularly happy that the upcoming IPRAS World Congress is to be held in beautiful Chile, in our continent of South America, where plastic surgery has made giant steps of development. I invite you all to add this important event to your plans for 2013 and to take advantage of the opportunity to attend one of the most important scientific gatherings for plastic surgery.

Ivo PITANGUY Head-Professor of the Plastic Surgery Departments of the Pontifical Catholic University of Rio de Janeiro and the Carlos Chagas Institute of Post-Graduate Medical Studies Member (and patron) of the Brazilian Society of Plastic Surgery, the National Academy of Medicine, and the Brazilian Academy of Letters Visiting Professor, I.S.A.P.S. FICS, FACS

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International Confederation for Plastic, Reconstructive & Aesthetic Surgery th

17th World Congress of the International Confederation for Plastic, Reconstructive and Aesthetic Surgery

24 February - 1 March 2013

SANTIAGO CHILE

24 February - 1 March 2013 SANTIAGO, CHILE

Dear colleagues,

Santiago de Chile is the destination for our World Congress 2013. Santiago recently, without even being noticed by the rest of the world, has changed into a vibrating city with an incredible spirit. It is considered now to be the Manhattan of South America. And it is surrounded by a breathtaking beautiful landscape between endless beaches and eternal snow, volcanos and rain forests, deserts and penguins! Our colleagues there are eagerly awaiting us with the unique hospitality of South America. Together we shall prepare an outstanding scientific program, but also unforgettable social events and unique pre- and post- congress tours. You all have noticed the dynamic development of our Confederation into a society that is eager to serve its individual members more efficiently and to increase the benefits for its members continuously. Our next world congress in Santiago de Chile will define another turning point. From now on, IPRAS will organize all world congresses with its own management staff and PCO. You will have the same familiar pattern of information and the same familiar persons will accompany you to destinations all around the world. Chile is a particularly exciting one. We promise to make this trip an unforgettable experience for you. We look forward to meet you there!

IPRAS

Marita Eisenmann-Klein President of IPRAS

Daniel Marchac Chairman of the Scientific Board of IPRAS

Patricio LĂŠniz President of the congress President of Chilean Society of Plastic Surgery

17 World Congress of the International Confederation for Plastic, Reconstructive and Aesthetic Surgery

ZITA C O N G R E S S

www.ipraschile.cl Organizational

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Support:

Contact details: Maria Petsa Issue 5

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Email: maria.petsa@zita-congress.gr

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24 February - 1 March 2013

Espacio Riesco Espacio Riesco Convention Center is a highly innovative exhibition venue in Santiago and spans over more than 130,000 m2 of land. The Center provides meeting rooms of 10,000 m2 that can easily hold around 6,500 guests as well as an indoor expocenter of 17,000 m2 2 and an outdoor expocenter of 28,000 m . Providing a parking facility for around 2,000 vehicles, the Espacio Riesco Convention Center is internationally deemed fit to meet all the requirements of global exhibitors as well. This notable convention forum strives towards creating an out of the world experience for its clients by providing them with the right space, the latest technology and excellent service for the enablement of highly effective and successful trade shows, events and conferences.

Fax: +30 210 664 21 16

Resting on an inland plain, with the Andes glimmering in the distance, Santiago, the capital of Chile, is the fifth largest city in South America. Santiago is a city that seems destined for growth.

Tel: +30 211 100 17 87

Today, Chile is one of South America's most stable and prosperous nations and a recognized middle power. It leads Latin American nations in human development, competitiveness, income per capita, globalization, economic freedom, low perception of corruption and state of peace.

Email: maria.petsa@zita-congress.gr

SANTIAGO CHILE

Contact details: Maria Petsa

Chile is a country of startling contrasts and extreme beauty, with attractions ranging from the towering volcanic peaks of the Andes to the ancient forests of the Lake District. Spindly Chile stretches 4300km over half the continent from the driest desert in the world (near San Pedro de Atacama) to massive glacial fields. Filling up the in-between are volcanoes, geysers, beaches, lakes, rivers, steppe and countless islands. Slenderness gives Chile the intimacy of a backyard (albeit one fenced between the Andes and the Pacific).

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Espacio Riesco is the place that denotes confidence and promotes creative development.

Organizational Support

ZITA

ZITA Congress S.A. guarantees highest quality accommodation and unique delegate rates

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NATIONAL & CO-OPTED SOCIETIES’ FUTURE EVENTS 29 - 01 September 2011

23 - 27 September 2011

9th Pan-Hellenic Society of Plastic, Reconstructive and Aesthetic Surgery Congress

Location: Denver,Colorado URL: http://www.plasticsurgery2011.org

Location: Kos, Greece Venue: Kipriotis Village Resort Contact: Mr. Nikos Antonopoulos Telephone: +30 211 100 1782 Fax: +30 210 6642116 E-mail: nikos.antonopoulos@zita-congress.gr 01 - 03 September 2011

2nd International Meeting on Aesthetic and Reconstructive Facial Surgery (IMAFR) Location: Kos,Greece Venue: Kipriotis Village Resort Contact: Mr. Nikos Antonopoulos Telephone: +30 211 100 1782 Fax: +30 210 6642116 E-mail: nikos.antonopoulos@zita-congress.gr URL: http://www.imafr2011.org 07 - 10 September 2011

VIII CentroamericaCaribe Meeting of FILACP Location: Punta Cana (Dominican Republic) URL: http://www.congresocentroamericanodecirugiapl astica2011.gauno.com/ 14 - 18 September 2011

33rd National Congress of the Turkish Society of Plastic Reconstructive and Aesthetic Surgeons Location: Çeşme, İzmir Venue: Sheraton Hotel E-mail: tpcd@figur.net URL: http://www.plastikcerrahikurultayi.org 14 - 18 September 2011

33rd National Congress of the Turkish Society of Plastic Reconstructive and Aesthetic Surgeons Location: Izmir - Turkey Venue: Cesme Sheraton Hotel URL: http://www.plastikcerrahikurultayi.org/

IPRAS Journal

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Issue 5

Plastic Surgery 2011

29 - 01 October 2011

DGPRÄC Congresses

Joint Congress of the Austrian and the German Society of Plastic Reconstructive and Aesthetic Surgeons, Innsbruck, Austria Location: Innsbruck, Austria URL: http://www.plast-congress-2011.org 14-15 October 2011

Symposium on Recent advances and new concepts in Plastic Surgery & Fat Grafting Course

Location: Limassol, Cyprus Venue: Dt. Raphael Hotel Contact: George Koliopoulos Telephone: +30 211 100 1781 Fax: +30 210 6642116 E-mail: george.koliopoulos@zita-congress.gr URL: www.cyprusfatgraft2011.com 14 - 17 October 2011

APRSSA congress (Association of Plastic and Reconstructive Surgeons of Southern Africa) Location: Spier Wine Estate, Cape Town 27 - 29 October 2011

1st Chinese European Congress of Plastic, Reconstructive and Aesthetic Surgery Location: Beijing, China Venue: China National Convention Centre Contact: Chrysa Kontololi Telephone: +30 211 100 1783 Fax: +30 210 6642116 E-mail: chrysa.kontololi@zita-congress.gr URL: http://www.china-europe2011.com 04 - 05 November 2011

International Education Symposium: «Esthetic Surgery and Cosmetology for Face and Periorbital Rejuvenescense» Location: Institute of Surgery n.a. A.Vyshevsky, B. Serpukhovskaya, 27 E-mail: info@plastickafedra.com URL: http://www.plastickafedra.com/

NATIONAL & CO-OPTED SOCIETIES’ FUTURE EVENTS 11-14 January 2012

22 - 26 May 2012

American Association for Hand Surgery 2012 Annual Meeting

XIX International Meeting of FILACP

Location: Las Vegas, Nevada Venue: Red Rock Casino Resort & Spa URL: http://handsurgery.org/

Location: Medellín (Colombia) URL: http://www.filacp2012.com 29 - 31 May 2012

20 - 22 January 2012

ISAPS Course 2012 Location: Goa, India Venue: Hotel Grand Hyatt Contact: Dr. Nazim Cerkes Telephone: 011 29228349 E-mail: ncerkes@hotmail.com 01 - 03 March 2012

Internation Society of Plastic Regenerative Surgery (ISPRES) 1st International Congress with Fat Graft Course Location: Italy, Rome Venue: Hotel Columbus 06 - 11 March 2012

XLIII National Congress Of Plastic, Aesthetic and Reconstructive Surgery Location: Merida, Yucatan. Mexico Venue: Convention Center Merida. URL: http://www.cirugiaplastuca.org.mx 11 - 14 March 2012

16th ASEAN Congress of Plastic Surgery

3rd European Conference on Preventive, Regenerative and Anti Aging Medicine (ECOPRAM) Location: Istanbul, Turkey Contact: Chrysa Kontololi Telephone: +30 211 100 1783 Fax: +30 210 6642116 E-mail: chrysa.kontololi@zita-congress.gr URL: http://www.ecopram2012.com 03 - 07 September 2012

21st Congress of ISAPS Location: Geneva, Switzerland Venue: Centre International de Conferences Geneve Contact: Catherine Foss Telephone: 1-603-643-2325 Fax: 1-603-643-1444 E-mail: isaps@conmx.net URL: http://www.isapscongress2012.org 12 - 15 September 2012

43. Jahrestagung der DGPRÄC / 17. Jahrestagung der VDÄPC Location: Bremen, Germany URL: http://www.dgpraec2012.de 10 - 13 October 2012

2nd World Congress of Plastic Surgeons of Lebanese Descent

Location: Boracay Island, Aklan, Philippines Venue: Boracay Regency Beach Resort & Convention Center URL: http://www.papras.org/

Location: Cancun, México. Venue: Convention Center Cancun. URL: http://www.congressmexico.com/LSPRAS2012

03 - 05 May 2012

01 - 03 November 2012

3rd Central Asian Plastic Surgery Conference Location: Tashkent, Uzbekistan Contact: George Koliopoulos Telephone: +30 211 100 1781 Fax: +30 210 6642116 E-mail: george.koliopoulos@zita-congress.gr

10th IQUAM Consensus Conference Location: Athens, Greece Venue: Royal Olympic Hotel Contact: Mr. Nikos Antonopoulos Telephone: +30 211 100 1782 Fax: +30 210 6642116 E-mail: nikos.antonopoulos@zita-congress.gr

Issue 5

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IPRAS Journal

IPRAS is happy to announce a new section in the ever-developing IPRAS Journal.

“IPRAS Member Association Profiles” Starting from the upcoming sixth issue of the Journal in October 2011, and in each forthcoming issue, you will be able to read a very interesting historical account of eight of our Member National or Regional Associations. Watch this space for a section worth reading and keeping in your archives! Each new IPRAS Journal will open a window to the past, current and future work of our Colleagues globally, allowing the family of Plastic Surgery to strengthen its ties even more and allow each surgeon to map the world presence of our specialties. For each National or Regional Association Member of IPRAS you will be able to read about:

important milestone events distinct scientific achievements inspired and gifted colleagues endeavors for the profession's development past and future events efforts to promote education humanitarian initiatives and much more, accompanied by rare photographic material…

In the Next Issue, Don't Miss the Reports on:

Morocco Brazil Thailand The Netherlands The United States of America Costa Rica Bulgaria New Zealand Coming in October 2011! 80

IPRAS Journal

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Issue 5

INDUSTRY NEWS ��

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IPRAS Journal

Patients around the world want 3D consultations Get your next patient from the N°1 search engine for surgeons with 3D The pre-consultation one-stop-shop With growing demand from patients seeking 3D simulations in their breast augmentation consultations, Crisalix provides a unique platform for patients to learn about this new technology and what to expect from it. Sublimma.com also provides a wealth of information on breast augmentation surgery to help patients understand some of the important choices they could be faced with when considering breast augmentation.

Sublimma.com: a glamorous and trendy source of information for potential patients. Sublimma.com presents and discusses some of the general reasons why women have breast augmentations and the impact this can have on their lives. The testimonials show that breast augmentation can help a patient feel better in her body and positively affect her social life and self-esteem. While the surgery is meant to increase the patient’s self-confidence and help the patient feel better about herself, there may be certain apprehensions, which Sublimma.com attempts to address in order for her to feel more comfortable when consulting a surgeon to find out more and ask specific questions. The Surgeon blogs are a dynamic means to provide first-hand advice to patients who are keen to receive valuable information before actually going in for a consultation. By posting your thoughts and comments on the blogs, you can communicate directly with the patients and expose your extensive experience and knowledge. The Surgeon Finder One of the key features of Sublimma.com is the exciting Surgeon Finder, which enables patients around the world to identify and locate surgeons in their area who have e-Stetix. All surgeons with eStetix are listed in the Surgeon Finder database, as a service included at no extra charge in all subscriptions. This is an opportunity for you to expose yourself to potential patients and promote your practice as a pioneer in the field of plastic surgery.

IPRAS Journal

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Issue 5

Sublimma.com and e-Stetix’s Marketing Kit are simple and efficient marketing tools for surgeons around the world.

Optimize your visibility and communication with e-Stetix’s Marketing Kit This is an exceptional source of marketing material, to help you promote yourself as a pioneer using 3D simulations in your consultations. The various online and offline marketing tools at

The intuitive Surgeon Finder on Sublimma.com allows patients to easily find a surgeon nearby. your disposal include a customizable personal website, a ready-touse press release, brochures, web banners, as well as videos which you can use for your website or have running in your waiting room for your patients to view. Benefit from similar results as Dr Callanta from the Philippines who effortlessly published a press release which resulted in over 1,100 syndicated articles across the web with 1 click!

EXCLUSIVE OFFER FOR IPRAS MEMBERS IPRAS members and readers have a special 10% discount on all eStetix annual subscriptions until end of September 2011. To benefit from this offer, please visit www.crisalix.com/en/pricing and “Signup” using the following ‘Coupon code’:

124502df1b Find out more about all the advantages and features of e-Stetix by visiting www.crisalix.com

International Confederation for Plastic Reconstuctive and Aesthetic Surgery

IPRAS BENEFITS FOR INDIVIDUAL MEMBERS • Immediate information about safety warnings on devices, drugs and procedures • Information regarding the proper use of all materials, substances and techniques related to Plastic, Reconstructive and Aesthetic Surgery through IQUAM (the International Committee of Quality Assurance and Medical Devices in Plastic Surgery) General Consensus statement, with an update every 2 years • Free electronic receipt of the IPRAS JOURNAL • Information regarding harmonization of training • Information regarding accreditation of Plastic Surgery Units • Promotion of Patient Safety and Quality Management (in cooperation with WHO) • Protection of the Specialty and Promotion of its image world-wide • Promotion of Individual Members of National Associations by uploading their scientific profile on the IPRAS website • Exchange of ideas, views, thoughts and proposals though the IPRAS website and its FORUM section • Certificate for Individual Members to display their IPRAS Membership • Regular updates on necessary information and the right to participate in all events organized by National Societies and IPRAS • Strengthening ties of professional cooperation and friendship with colleagues beyond national borders all over the world • Information regarding the developments of plastic surgery worldwide

International Confederation for Plastic Reconstuctive and Aesthetic Surgery

IPRAS BENEFITS FOR NATIONAL ASSOCIATIONS • Association support for educational and research purposes • Association legal & ethical advice according to international law and practices and assistance with crisis management • Promotion of local or regional events through the official IPRAS management office • Promotion of local or regional news and a Historical Account for the Association through the IPRAS Journal • Free shipment of copies and electronic receipt of the IPRAS Journal • Immediate information and advice about safety warnings on devices, drugs and procedures • Information regarding the proper use of all materials, substances and techniques related to Plastic, Reconstructive and Aesthetic Surgery through IQUAM (the International Committee of Quality Assurance and Medical Devices in Plastic Surgery) General Consensus statement, with an update every 2 years • Promotion of Patient Safety and Quality Management (in cooperation with the World Health Organization - WHO) • Information regarding harmonization of training • Information regarding accreditation of Plastic Surgery Units • Protection of the Specialty and Promotion of its image world-wide • Information and reports about events organized by other National Societies and IPRAS

Issue 5

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IPRAS Journal

5th Issue July 2011

IPRAS Journal Management Editor: Editor-in-Chief: Editorial Board:

Page Layout: E-mail: Post Editing: Photographer: IPRAS Management Ofﬁce ZITA CONGRESS SA 1st km Peanias Markopoulou Ave P.O BOX 155, 190 02 Peania Attica, Greece Tel: (+30) 211 100 1770-1, Fax: (+30) 210 664 2216 URL: www.ipras.org • E-mail: zita@iprasmanagement.com Executive Director: Zacharias Kaplanidis E-mail: zacharias.kaplanidis@iprasmanagement.com Assistant Executive Director: Maria Petsa E-mail: maria.petsa@iprasmanagement.com Accounting Director: George Panagiotou E-mail: george.panagiotou@zita-congress.gr Congress Organizer: Yannis Liolios E-mail: yannis.liolios@zita-congress.gr Associations Management Director: Dimitris Synodinos E-mail: dimitris.synodinos@zita-congress.gr Commercial Director: Gerasimos Kouloumpis E-mail: gerasimos.kouloumpis@zita-congress.gr

Next issue: October 2011

IPRAS Thomas Biggs, MD Marita Eisenmann - Klein, MD Andreas Yiacoumettis, MD Christian Echinard, MD Constance Neuhann-Lorenz, MD Zacharias Kaplanidis, Economist “In Tempo” Athens Greece panos@intempo.gr Athena Spanou, MD Julian Klein

DISCLAIMER: IPRAS journal is published by IPRAS. IPRAS and IPRAS Management Office, its staff, editors authors and contributors do not recommend, endorse or make any representation about the efficacy, appropriateness or suitability of any specific tests, products, procedures, treatments, services, opinions, health care providers or other information that may be contained on or available through this journal. The information provided on the IPRAS JOURNAL is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on this journal is for general information purposes only. IPRAS, IPRAS Management Office and its staff, editors, contributors and authors ARE NOT RESPONSIBLE NOR LIABLE FOR ANY ADVICE, COURSE OF TREATMENT, DIAGNOSIS OR ANY OTHER INFORMATION, SERVICES OR PRODUCTS THAT YOU OBTAIN THROUGH THIS JOURNAL. NEVER DISREGARD PROFESSIONAL MEDICAL ADVICE OR DELAY SEEKING MEDICAL TREATMENT BECAUSE OF SOMETHING YOU HAVE READ ON OR ACCESSED THROUGH THIS JOURNAL. While every effort has been made to ensure accuracy, neither the publisher, IPRAS, IPRAS Management Office and its staff, editors, authors and or contributors shall have any liability for errors and/or omissions. Readers should always consult with their doctors before any course of treatment. ©Copywright 2010 by the International Confederation of Plastic, Reconstructive and Aesthetic Surgery. All rights reserved. Contents may not be reproduced in whole or in part without written permission of IPRAS.